Bariatric Surgery Needs a Seat at the Children's Table: Bridging the Perception and Reality of the Role of Bariatric Surgery in the Treatment of Obesity in Adolescents
| Autor: | Artur Chernoguz, Walter J. Chwals |
|---|---|
| Rok vydání: | 2018 |
| Předmět: |
medicine.medical_specialty
Sleeve gastrectomy Pediatric Obesity Adolescent medicine.medical_treatment Population Bariatric Surgery Management of obesity 03 medical and health sciences 0302 clinical medicine Pharmacotherapy Weight loss Recurrence 030225 pediatrics Intervention (counseling) Weight Loss medicine Humans Pharmacology (medical) 030212 general & internal medicine education Exercise Pharmacology education.field_of_study business.industry medicine.disease Obesity Surgery medicine.symptom business Weight Loss Surgery |
| Zdroj: | Clinical therapeutics. 40(10) |
| ISSN: | 1879-114X |
| Popis: | The long-term morbidity of obesity in adolescents is well recognized nationally and represents a major health concern for the population of the near future. Traditional medical management of obesity focuses on addressing behavioral modification, dietary and exercise programs, and, to a lesser degree, pharmaceuticals. Although these strategies are relatively effective, they suffer from the lack of sustained benefit, a high relapse rate, and, in case of pharmacotherapy, potentially dangerous adverse effects. Bariatric surgery in adolescents has often been characterized as a risky intervention with unknown long-term benefits. However, recent data establish that a sustained, clinically meaningful effect on weight loss, as well as a reduction in chronic morbidities related to obesity, can be achieved. The role of bariatric surgery as an accepted adjunctive strategy in the treatment of obesity in adolescents is becoming more recognized; however, a number of barriers exist that prevent the timely evaluation of adolescents with obesity for potential surgical intervention. We examine these barriers in light of recent advancements to help better define the role of bariatric surgery in the treatment of obesity in adolescent population. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
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