RT Journal Article
SR Electronic
T1 Metabolic and Bariatric Surgery for Pediatric Patients With Severe Obesity
JF Pediatrics
JO Pediatrics
FD American Academy of Pediatrics
SP e20193224
DO 10.1542/peds.2019-3224
VO 144
IS 6
A1 Bolling, Christopher F.
A1 Armstrong, Sarah C.
A1 Reichard, Kirk W.
A1 Michalsky, Marc P.
A1 ,
YR 2019
UL http://pediatrics.aappublications.org/content/144/6/e20193224.abstract
AB 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.