Bariatric Surgery in Adolescents: Practical Guidelines from a Pediatrician’s Point of View

Chapter
First Online:

Abstract

While morbid obesity is not a new phenomenon, the prevalence especially in the European- and US-American population drastically increased over the last three decades. Current prevalence of obesity (BMI > 30) in Europe is reported to be between 10 % and 20 % in men and 15–25 % in women. Approximately half of the European population is considered overweight or obese (BMI > 25) (James et al. 2004). Recent estimations forecast severe obesity prevalence of 11 % in the USA with an obesity prevalence of 42 %. More importantly, if the increase of the prevalence of obesity could be halted, 550 billion dollars could be saved in healthcare expenditures in the USA alone (Finkelstein et al. 2012). It is therefore of utmost importance to find cost-effective ways of treating (or even preventing) adiposity.

Keywords

Obstructive Sleep Apnea Bariatric Surgery Gastric Bypass Gastric Banding Laparoscopic Adjustable Gastric Banding 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.
This is a preview of subscription content, log in to check access.

References

  1. Baur LA, Fitzgerald DA (2001) Recommendations for bariatric surgery in adolescents in Australia and New Zealand. J Paediatr Child Health 46(12):704–7CrossRefGoogle Scholar
  2. Black JA, White B, Viner RM, Simmons RK (2013) Bariatric surgery for obese children and adolescents: a systematic review and meta-analysis. Obes Rev 14(8):634–644PubMedCrossRefGoogle Scholar
  3. Dixon JB, Fitzgerald DA, Kow L, Bailey D, Baur LA (2011) Adolescent bariatric surgery: ANZ guidance and recommendations. ANZ J Surg 81(12):854–5. doi: 10.1111/j.1445-2197.2011.05897.x PubMedCrossRefGoogle Scholar
  4. Finkelstein EA, Khavjou OA, Thompson H, Trogdon JG, Pan L, Sherry B, Dietz W (2012) Obesity and severe obesity forecasts through 2030. Am J Prev Med 42(6):563–70. doi: 10.1016/j.amepre.2011.10.026 PubMedCrossRefGoogle Scholar
  5. International Pediatric Endosurgery Group (IPEG) (2009) IPEG guidelines for surgical treatment of extremely obese adolescents. J Laparoendosc Adv Surg Tech A 19(Suppl 1):xiv–xvi. doi: 10.1089/lap.2009.9981.supp Google Scholar
  6. James PT, Rigby N, Leach R (2004) The obesity epidemic, metabolic syndrome and future prevention strategies. Eur J Cardiovasc Prev Rehabil 11(1):3–8PubMedCrossRefGoogle Scholar
  7. Lennerz BS, Wabitsch M, Lippert H et al (2014) Bariatric surgery in adolescents and young adults - safety and effectiveness in a cohort of 345 patients. Int J Obes (Lond) 38(3):334–340CrossRefGoogle Scholar

Further Reading

  1. Fried M (2008) Bariatric surgery in padeiatrics - when and how? Int J Pediatr Obes 3(Suppl 2):15–19PubMedCrossRefGoogle Scholar
  2. Fried M, Hainer V, Basdevant A et al (2007) Inter-disciplinary European guidelines on surgery of severe obesity. Int J Obes (Lond) 31(4):569–577Google Scholar
  3. Zwintscher NP, Azarow KS, Horton JD et al (2013) The increasing incidence of adolescent bariatric surgery. J Pediatr Surg 48:2401–2407PubMedCrossRefGoogle Scholar

Copyright information

© Springer-Verlag Wien 2015

Authors and Affiliations

  1. 1.Austrian Academic Institute for Clinical NutritionViennaAustria

Personalised recommendations