Worldwide childhood obesity has increased, reaching 8–16% of the pediatric population (BMI >120% of the 95th percentile). In USA, currently 4.4 million children and adolescents have been diagnosed with severe obesity in the USA. Increase in obesity-related co-morbidities (e.g. type 2 diabetes, insulin resistance, hypertension, dyslipidemia, obstructive sleep apnea and non-alcoholic fatty liver disease) has been demonstrated in children and adolescents. Metabolic or obesity operation has been controversial in childhood or adolescence; nevertheless the mini-gastric bypass (MGB) and one anastomosis gastric bypass (OAGB/BAGUA) version have been found to be very safe operation with excellent results for control of obesity and co-morbidities in young patients. MGB-OAGB results in the short, medium and long-term show this.
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