Pediatric and adolescent obesity: management, options for surgery, and outcomes

J Pediatr Surg. 2014 Mar;49(3):491-4. doi: 10.1016/j.jpedsurg.2013.11.067. Epub 2013 Dec 10.

Abstract

The past four decades have witnessed a marked rise in the number of children and adolescents with obesity. Severe obesity has also become increasingly prevalent. More young patients who have obesity are being referred for weight management and weight loss surgery, thus posing new challenges to both the medical personnel who care for them as well as the institutions in which that care is provided. This manuscript is generated from the material presented at the Education Day symposium entitled "Surgical Care of the Obese Child" held at the 42nd Annual Meeting of the American Pediatric Surgical Association in Palm Desert, CA, on May 22, 2011. Herein the presenters at the symposium update the material addressing evaluation of a young person for weight loss surgery (including the team approach to patient evaluation and institutional infrastructure and responsibilities). The procedures most frequently available to young patients with obesity are identified, and current outcomes, trends, and future direction are also discussed.

Keywords: Adolescent weight loss surgery; Obesity surgery.

Publication types

  • Review

MeSH terms

  • Adolescent
  • Age Factors
  • Bariatric Surgery* / adverse effects
  • Bariatric Surgery* / methods
  • Bariatric Surgery* / statistics & numerical data
  • Child
  • Clinical Trials as Topic
  • Equipment Design
  • Facility Design and Construction
  • Humans
  • Laparoscopy / methods
  • Meta-Analysis as Topic
  • Obesity / epidemiology
  • Obesity / surgery*
  • Patient Care Team
  • Postgastrectomy Syndromes / epidemiology
  • Treatment Outcome
  • Weight Reduction Programs