Metabolic and Bariatric Surgery for Pediatric Patients With Severe Obesity

Pediatrics. 2019 Dec;144(6):e20193224. doi: 10.1542/peds.2019-3224. Epub 2019 Oct 27.


Severe obesity affects the health and well-being of millions of children and adolescents in the United States and is widely considered to be an "epidemic within an epidemic" that poses a major public health crisis. Currently, few effective treatments for severe obesity exist. Metabolic and bariatric surgery are existing but underuse treatment options for pediatric patients with severe obesity. Roux-en-Y gastric bypass and vertical sleeve gastrectomy are the most commonly performed metabolic and bariatric procedures in the United States and have been shown to result in sustained short-, mid-, and long-term weight loss, with associated resolution of multiple obesity-related comorbid diseases. Substantial evidence supports the safety and effectiveness of surgical weight loss for children and adolescents, and robust best practice guidelines for these procedures exist.

Publication types

  • Review

MeSH terms

  • Adolescent
  • Bariatric Surgery / methods
  • Bariatric Surgery / trends*
  • Child
  • Health Services Accessibility / trends*
  • Humans
  • Obesity, Morbid / diagnosis
  • Obesity, Morbid / epidemiology*
  • Obesity, Morbid / surgery*
  • United States / epidemiology