Adolescent bariatric surgery

Overall it is clear that bariatric surgical intervention in appropriately selected adolescents is effective at both adequate weight loss and resolution of weight related co-morbidities in the short and medium term. Long-term results are being conducted currently to assess durability of bariatric sur...

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Bibliographic Details
Published in:Abdominal imaging 2012-10, Vol.37 (5), p.725-729
Main Authors: Kumar, Seema, Zarroug, Abdalla E., Swain, James M.
Format: Article
Language:English
Subjects:
Adolescence
Adolescent
Bariatric Surgery
Calories
Data processing
Female
Food
Gastroenterology
Hepatology
Humans
Imaging
Male
Medicine
Medicine & Public Health
Obesity, Morbid - complications
Obesity, Morbid - epidemiology
Obesity, Morbid - surgery
Patient Selection
Postoperative Complications - epidemiology
Radiology
Surgery
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Summary:Overall it is clear that bariatric surgical intervention in appropriately selected adolescents is effective at both adequate weight loss and resolution of weight related co-morbidities in the short and medium term. Long-term results are being conducted currently to assess durability of bariatric surgical interventions. We believe that adolescents undergoing bariatric evaluation have unique needs and until more long-term data are available, the indications for surgery should be stricter than those used in adults. All of the bariatric procedures discussed must be performed in the background of positive behavioral modifications over a period of time. If lifestyle modification fails, these adolescents can gain weight by overcoming the physiologic effects of the surgery as they eat high calorie foods at very frequent intervals. Finally, close postoperative follow-up is required with active management of weight loss/gain, co-morbidities, and postoperative complications should they occur.
ISSN:2366-004X
0942-8925
2366-0058
1432-0509
DOI:10.1007/s00261-012-9865-7