Bariatric Surgery in Adolescents: To Do or Not to Do?
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 s...
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doaj-4e4197462a7044bea99ab86525d7edd72021-06-01T01:20:59ZengMDPI AGChildren2227-90672021-05-01845345310.3390/children8060453Bariatric Surgery in Adolescents: To Do or Not to Do?Valeria Calcaterra0Hellas Cena1Gloria Pelizzo2Debora Porri3Corrado Regalbuto4Federica Vinci5Francesca Destro6Elettra Vestri7Elvira Verduci8Alessandra Bosetti9Gianvincenzo Zuccotti10Fatima Cody Stanford11Pediatric and Adolescent Unit, Department of Internal Medicine, University of Pavia, 27100 Pavia, ItalyClinical Nutrition and Dietetics Service, Unit of Internal Medicine and Endocrinology, ICS Maugeri IRCCS, 27100 Pavia, ItalyPediatric Surgery Department, “V. Buzzi” Children’s Hospital, 20154 Milan, ItalyClinical Nutrition and Dietetics Service, Unit of Internal Medicine and Endocrinology, ICS Maugeri IRCCS, 27100 Pavia, ItalyPediatric Unit, Fond. IRCCS Policlinico S. Matteo and University of Pavia, 27100 Pavia, ItalyPediatric Unit, Fond. IRCCS Policlinico S. Matteo and University of Pavia, 27100 Pavia, ItalyPediatric Surgery Department, “V. Buzzi” Children’s Hospital, 20154 Milan, ItalyPediatric Surgery Department, “V. Buzzi” Children’s Hospital, 20154 Milan, ItalyPediatric Department, “V. Buzzi” Children’s Hospital, 20154 Milan, ItalyPediatric Department, “V. Buzzi” Children’s Hospital, 20154 Milan, ItalyPediatric Department, “V. Buzzi” Children’s Hospital, 20154 Milan, ItalyMassachusetts General Hospital and Harvard Medical School, Boston, MA 02114, USAPediatric 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.https://www.mdpi.com/2227-9067/8/6/453pediatric obesitybariatric surgeryadolescentsnutritional statusweight losslaparoscopic sleeve gastrectomy |
collection |
DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
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 |
spellingShingle |
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 Bariatric Surgery in Adolescents: To Do or Not to Do? Children pediatric obesity bariatric surgery adolescents nutritional status weight loss laparoscopic sleeve gastrectomy |
author_facet |
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 |
author_sort |
Valeria Calcaterra |
title |
Bariatric Surgery in Adolescents: To Do or Not to Do? |
title_short |
Bariatric Surgery in Adolescents: To Do or Not to Do? |
title_full |
Bariatric Surgery in Adolescents: To Do or Not to Do? |
title_fullStr |
Bariatric Surgery in Adolescents: To Do or Not to Do? |
title_full_unstemmed |
Bariatric Surgery in Adolescents: To Do or Not to Do? |
title_sort |
bariatric surgery in adolescents: to do or not to do? |
publisher |
MDPI AG |
series |
Children |
issn |
2227-9067 |
publishDate |
2021-05-01 |
description |
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. |
topic |
pediatric obesity bariatric surgery adolescents nutritional status weight loss laparoscopic sleeve gastrectomy |
url |
https://www.mdpi.com/2227-9067/8/6/453 |
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