Short- and long-term safety and efficacy of bariatric surgery for severely obese adolescents

a narrative review

Lauren A. Sarno, Steven E. Lipshultz, Carroll Harmon, Nestor de la Cruz-Munoz, Preetha L. Balakrishnan

Research output: Contribution to journalReview article

Abstract

The selection criteria, safety, and efficacy of bariatric surgery are well established in adults but are less well defined for severely obese adolescents. The number of severely obese adolescents who could benefit from weight loss surgery is increasing, although referral rates have plateaued. Surgical options for these adolescents are controversial and raise several questions. Recent studies, including the prospective Teen-Longitudinal Assessment of Bariatric Surgery Study and the Adolescent Morbid Obesity Surgery Study, help answer these questions. Early bariatric surgical intervention improves body mass index but, more importantly, improves cardiovascular and metabolic co-morbidities of severe obesity. A review of the medical, psychosocial, and economic risks and benefits of bariatric surgery in severely obese adolescents is a step toward improving the management of a challenging and increasing population. We describe the current knowledge of eligibility criteria, preoperative evaluation, surgical options, outcomes, and referral barriers of adolescents for bariatric surgery.

Original languageEnglish (US)
JournalPediatric Research
DOIs
StateAccepted/In press - Jan 1 2019

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Bariatric Surgery
Safety
Morbid Obesity
Referral and Consultation
Medical Economics
Bariatrics
Pediatric Obesity
Patient Selection
Weight Loss
Body Mass Index
Prospective Studies
Morbidity
Population

ASJC Scopus subject areas

  • Pediatrics, Perinatology, and Child Health

Cite this

Short- and long-term safety and efficacy of bariatric surgery for severely obese adolescents : a narrative review. / Sarno, Lauren A.; Lipshultz, Steven E.; Harmon, Carroll; de la Cruz-Munoz, Nestor; Balakrishnan, Preetha L.

In: Pediatric Research, 01.01.2019.

Research output: Contribution to journalReview article

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