What Is the Evidence for Paediatric/Adolescent Bariatric Surgery?

Purpose of Review In spite of the increasing prevalence of severe and complex obesity in children, surgery as a potential management option is still not widely accepted. The purpose of this review is to examine the evidence for surgical options in the severely obese paediatric population. Increasing...

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Bibliographic Details
Published inCurrent obesity reports Vol. 6; no. 3; pp. 278 - 285
Main Authors Durkin, Natalie, Desai, Ashish P.
Format Journal Article
LanguageEnglish
Published New York Springer US 01.09.2017
Subjects
Adolescent
Bariatric Surgery
Behavioral Therapy
Cardiology
Child
Diabetes
Endocrinology
Evidence-Based Medicine
Health Services and Programs (R Welbourn
Health Services and Programs (R Welbourn, Section Editor)
Humans
Medicine
Medicine & Public Health
Metabolic Diseases
Pediatric Obesity - surgery
Section Editor
Topical Collection on Health Services and Programs
Paediatric
Benefits
Complications
Bariatric surgery
Adolescent
Sleeve gastrectomy
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Summary:Purpose of Review In spite of the increasing prevalence of severe and complex obesity in children, surgery as a potential management option is still not widely accepted. The purpose of this review is to examine the evidence for surgical options in the severely obese paediatric population. Increasing evidence supports early rather than later use of bariatric surgery in the treatment of extreme obesity. Recent Findings Prior to 2007, the feasibility and safety of surgery have been reported by predominantly small, sporadic single-centre retrospective case series. Increasing long-term data is now emerging due to the formation of multi-centre prospective national consortiums with two large, prospective long-term outcome studies published within the last year aiding our understanding of the efficacy and safety of bariatric surgery within the adolescent population. Summary It is increasingly clear that adolescent bariatric surgery outcomes are comparable to adults, with similar sustainable weight loss, resolution of co-morbidities and complication rates. However, these studies are solely from dedicated specialist adolescent centres and results may not be reproducible if not performed in regulated environments with specialist multi-disciplinary teams.
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ISSN:2162-4968
2162-4968
DOI:10.1007/s13679-017-0277-4