Pediatric Metabolic and Bariatric Surgery

Adi Steinhart; Deborah Tsao; Janey S A Pratt

doi:10.1016/j.suc.2020.12.007

Pediatric Metabolic and Bariatric Surgery

Surg Clin North Am. 2021 Apr;101(2):199-212. doi: 10.1016/j.suc.2020.12.007.

Authors

Adi Steinhart¹, Deborah Tsao², Janey S A Pratt³

Affiliations

¹ Department of Pediatrics, Stanford University School of Medicine, 1017 Paradise Way, Palo Alto, CA 94306, USA.
² Stanford University School of Medicine, 227 Ayrshire Farm Ln (Apt 203), Stanford, CA 94305, USA.
³ Division of Pediatric Surgery, Stanford University School of Medicine, Lucille Packard Children's Hospital, M166 Alway Building, 300 Pasteur Drive, Stanford, CA 94305, USA. Electronic address: jsapratt@stanford.edu.

PMID: 33743964
DOI: 10.1016/j.suc.2020.12.007

Abstract

Childhood obesity can lead to comorbidities that cause significant decrease in health-related quality of life and early mortality. Recognition of obesity as a disease of polygenic etiology can help deter implicit bias. Current guidelines for treating severe obesity in children recommend referral to a multidisciplinary treatment center that offers metabolic and bariatric surgery at any age when a child develops a body mass index that is greater than 120% of the 95th percentile. Obesity medications and lifestyle counseling about diet and exercise are not adequate treatment for severe childhood obesity. Early referral can significantly improve quality and quantity of life.

Keywords: Adolescent; Bariatric; Obesity; Pediatric; Surgery.

Publication types

Review

MeSH terms

Bariatric Surgery / methods*
Body Mass Index*
Child
Humans
Laparoscopy / methods*
Pediatric Obesity / surgery*
Quality of Life*