Current Surgery Reports

, 5:2 | Cite as

Adolescent Bariatric Surgery: Quality, Outcomes, and Debates

  • Arianne T. Train
  • Robert M. Dorman
  • Carroll M. Harmon
Bariatric Surgery (A. Ghaferi, Section Editor)
Part of the following topical collections:
  1. Bariatric Surgery

Abstract

Purpose of Review

To provide an updated evaluation of the literature regarding safety and outcomes in pediatric bariatric surgery and to explore associated controversies related to surgical timing and age concerns, as well as other ethical issues.

Recent Findings

Nonsurgical management of pediatric patients with obesity becomes less effective with increasing age and severity of disease. For carefully selected adolescent patients, bariatric surgery has been shown to provide sustained weight loss, reduction in comorbidities, and improved quality of life; however, high-level evidence is limited. Current data support surgical intervention in obese adolescents prior to adulthood, as several comorbidities and cardiovascular risk factors appear to be increasingly responsive to weight loss at a younger age. There is inadequate information available in pediatric patients to support one type of surgical intervention over another, or weight loss surgery in preadolescent patients.

Summary

Large trials have begun to more clearly delineate the risks and benefits of adolescent bariatric surgery. As the use of this important intervention increases, it is important that standards of care are agreed upon and that continuing study helps define appropriate patient selection and method of intervention.

Keywords

Bariatric surgery Adolescent obesity Pediatric bariatric surgery 

References

Recently published papers of significance have been annotated as follows: • Of importance •• Of major importance

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Copyright information

© Springer Science + Business Media New York 2017

Authors and Affiliations

  • Arianne T. Train
    • 1
  • Robert M. Dorman
    • 1
    • 2
  • Carroll M. Harmon
    • 1
    • 2
  1. 1.Department of Pediatric SurgeryWomen and Children’s Hospital of BuffaloBuffaloUSA
  2. 2.Department of SurgeryUniversity at Buffalo Jacobs School of Medicine and Biomedical SciencesBuffaloUSA

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