Bariatric Surgery



Adolescent obesity is reaching near-epidemic proportions in the United States, lagging behind but following the trend of adult obesity. In some regions, nearly 40% of adolescents are obese, and many are developing severe obesity-related comorbid conditions that result in a reduced quality of life and can be progressive and life-threatening. Although nutritional counseling and behavioral modification programs have been moderately successful for overweight and obese children in the younger age groups, medical management appears to be less effective in the adolescent and young adult populations. It is estimated that up to 80% of obese teenagers will go on to become obese adults, with a pattern of continued weight gain as they enter adulthood. Bariatric surgery has been demonstrated to be a safe, effective and durable weight-loss method in adults, but its widespread application in the pediatric population remains controversial. Nevertheless, data increasingly show a similar safety and efficacy in adolescents.


Obstructive Sleep Apnea Bariatric Surgery Gastric Bypass Adjustable Gastric Band Roux Limb 
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Suggested Reading

  1. Collins J, Mattar S, Qureshi F, et al. Initial outcomes of laparoscopic Roux-en-Y gastric bypass in morbidly obese adolescents. Surg Obes Relat Dis. 2007;3:147–52.CrossRefPubMedGoogle Scholar
  2. Inge TH, Daniels SR, Garcia VF. In: Ashcraft KW, Holcomb GW, Murphy JP, editors. Pediatric surgery. 4th ed. Philadelphia, PA: Elsevier Saunders; 2005. p. 1116–25.Google Scholar
  3. Inge TH, Krebs NF, Garcia VF, et al. Bariatric surgery for severely overweight adolescents: concerns and recommendations. Pediatrics. 2004a;114:217–23.CrossRefPubMedGoogle Scholar
  4. Inge TH, Xanthakos SA, Zeller MH. Bariatric surgery for pediatric extreme obesity: now or later? Int J Obes. 2007;31:1–14.CrossRefGoogle Scholar
  5. Inge TH, Zeller M, Garcia VF, et al. Surgical approach to adolescent obesity. Adolesc Med. 2004b;15:429–53.CrossRefGoogle Scholar
  6. Lawson ML, Kirk S, Mitchell T, et al. One-year outcomes of Roux-en-Y gastric bypass for morbidly obese adolescents: a multicenter study from the Pediatric Bariatric Study Group. J Pediatr Surg. 2006;41:137–43.CrossRefPubMedGoogle Scholar
  7. Nadler EP, Youn HA, Ginsburg HB, et al. Short-term results in 53 US obese pediatric patients treated with laparoscopic adjustable gastric banding. J Pediatr Surg. 2007;42:137–42.CrossRefPubMedGoogle Scholar
  8. Nadler EP, Youn HA, Ren CJ, et al. An update on 73 US obese pediatric patients treated with laparoscopic adjustable gastric banding: comorbidity resolution and compliance data. J Pediatr Surg. 2008;43: 141–6.CrossRefPubMedGoogle Scholar

Copyright information

© Springer Science+Business Media, LLC 2011

Authors and Affiliations

  1. 1.Department of Pediatric General and Thoracic SurgeryUniversity of Pennsylvania, Children’s Hospital of PhiladelphiaPhiladelphiaUSA

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