Bariatric surgery in the treatment of adolescent obesity: current perspectives in the United States
| Autor: | Sujatha Seetharaman, Eftitan Y Akam, Fatima Cody Stanford, Sonali Malhotra, Ramya Sivasubramanian, Ashley Y. Shaw, Kathryn S. Czepiel |
|---|---|
| Rok vydání: | 2021 |
| Předmět: |
Pediatric Obesity
medicine.medical_specialty Adolescent Endocrinology Diabetes and Metabolism Gastric Bypass Bariatric Surgery Stigma (botany) 030209 endocrinology & metabolism Article Limited access 03 medical and health sciences 0302 clinical medicine Gastrectomy Weight loss Long term outcomes Humans Medicine Child business.industry Adolescent Obesity Perioperative medicine.disease Obesity United States Health equity Surgery 030220 oncology & carcinogenesis Quality of Life medicine.symptom business |
| Zdroj: | Expert Rev Endocrinol Metab |
| ISSN: | 1744-8417 1744-6651 |
| DOI: | 10.1080/17446651.2021.1914585 |
| Popis: | INTRODUCTION: Rates of severe obesity in adolescents have increased at an alarming rate. Unfortunately, there are limited successful treatments for severe obesity in adolescents. Metabolic and bariatric surgery (MBS) is the most effective treatment available for adolescents with Class 2 and above severe obesity and has demonstrated variable degrees of sustained long-term weight loss which leads to resolution of multiple associated conditions and an improved quality of life. AREAS COVERED: We discuss the current landscape of MBS in adolescents and evidence to support its long-term safety and efficacy. A literature search through PubMed, ResearchGate and HOLLIS Harvard Library Online Catalog was performed from the date of inception until 3/15/2021. A combination of the following keywords was used: Pediatric metabolic/bariatric surgery; long term outcomes of Pediatric metabolic/bariatric surgery, perioperative assessment, pediatric metabolic/bariatric surgery barriers; attitudes toward metabolic/bariatric surgery. EXPERT OPINION: MBS is emerging as a safe and effective treatment strategy for adolescents with severe obesity, with recent studies demonstrating durable and sustainable weight loss. There remains an urgent need for longitudinal studies to assess durability of weight loss. Obesity stigma and bias, limited access to tertiary care centers, and skepticism around the treatment of obesity poses a major challenge. |
| Databáze: | OpenAIRE |
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