Bariatric surgery in adolescents: To do or not to do?

Valeria Calcaterra, Hellas Cena, Gloria Pelizzo, Debora Porri, Corrado Regalbuto, Federica Vinci, Francesca Destro, Elettra Vestri, Elvira Verduci, Alessandra Bosetti, Gianvincenzo Zuccotti, Fatima Cody Stanford

Research output: Contribution to journalReview articlepeer-review

Abstract

Pediatric obesity is a multifaceted disease that can impact physical and mental health. It is a complex condition that interweaves biological, developmental, environmental, behavioral, and genetic factors. In most cases lifestyle and behavioral modification as well as medical treatment led to poor short-term weight reduction and long-term failure. Thus, bariatric surgery should be considered in adolescents with moderate to severe obesity who have previously participated in lifestyle interventions with unsuccessful outcomes. In particular, laparoscopic sleeve gastrectomy is considered the most commonly performed bariatric surgery worldwide. The procedure is safe and feasible. The efficacy of this weight loss surgical procedure has been demonstrated in pediatric age. Nevertheless, there are barriers at the patient, provider, and health system levels, to be removed. First and foremost, more efforts must be made to prevent decline in nutritional status that is frequent after bariatric surgery, and to avoid inadequate weight loss and weight regain, ensuring successful long-term treatment and allowing healthy growth. In this narrative review, we considered the rationale behind surgical treatment options, outcomes, and clinical indications in adolescents with severe obesity, focusing on LSG, nutritional management, and resolution of metabolic comorbidities.

Original languageEnglish
Article number453
JournalChildren
Volume8
Issue number6
DOIs
Publication statusPublished - Jun 2021

Keywords

  • Adolescents
  • Bariatric surgery
  • Complications
  • Laparoscopic sleeve gastrectomy
  • Multi-disciplinarity
  • Nutritional status
  • Pediatric obesity
  • Weight loss

ASJC Scopus subject areas

  • Pediatrics, Perinatology, and Child Health

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