Metabolic and Bariatric Surgery for Adolescents.

Ihuoma Eneli, Keeley J Pratt, Faith Anne N Heeren, Rochelle L Cason-Wilkerson

Journal: Pediatric clinics of North America 2024;71(5):981-998

PMID: 39343505

Full Text on Elsevier Science View on PubMed

Abstract

Obesity is a chronic, complex, and multifactorial disease. Currently, approximately 6% have severe obesity with higher rates seen among racial/ethnic minority subgroups and in rural communities. Severe obesity is associated with cardiometabolic, psychologic, and musculoskeletal comorbidities. Metabolic and bariatric surgery is an effective treatment option for adolescents endorsed by major pediatric organizations. The most common procedure is the vertical sleeve gastrectomy. Pre-operative evaluation includes an in-depth medical, nutrition, physical activity and psychosocial assessment, with a care plan developed by a multidicplinary team with the adolescent and caregiver. The post-operative plan should include monitoring for surgical complications, weight regain, micronutrient deficiencies, psychologic challenges, and transition to adult care.

Address: Department of Pediatrics, Section of Nutrition, University of Colorado Anschutz Medical Campus, Aurora, CO, USA. Electronic address: [email protected].; Department of Health Outcomes and Biomedical Informatics, University of Florida College of Medicine, Gainesville, FL, USA.; Department of Pediatrics, Section of Nutrition, University of Colorado Anschutz Medical Campus, Aurora, CO, USA.; Department of Human Sciences, College of Education and Human Ecology, The Ohio State University, Columbus, OH, USA; Department of Surgery, College of Medicine, The Ohio State University, Columbus, OH, USA; Department of Pediatrics, College of Medicine, The Ohio State University, Columbus, OH, USA.

DOI: 10.1016/j.pcl.2024.06.007

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MeSH Terms: Humans, Adolescent, Bariatric Surgery, Pediatric Obesity, Obesity, Morbid, Gastrectomy