Bariatric surgery for severely obese adolescents

Dominic A Fitzgerald; Louise Baur

doi:10.1016/j.prrv.2014.06.001

Bariatric surgery for severely obese adolescents

Paediatr Respir Rev. 2014 Sep;15(3):227-30. doi: 10.1016/j.prrv.2014.06.001. Epub 2014 Jun 28.

Authors

Dominic A Fitzgerald¹, Louise Baur²

Affiliations

¹ Department of Respiratory Medicine, The Children's Hospital at Westmead, Sydney, NSW, Australia; Sydney Medical School, Discipline of Paediatrics & Child Health, University of Sydney, Sydney, NSW, Australia. Electronic address: Dominic.fitzgerald@health.nsw.gov.au.
² Sydney Medical School, Discipline of Paediatrics & Child Health, University of Sydney, Sydney, NSW, Australia; Weight Management Services, The Children's Hospital at Westmead, Sydney, NSW, Australia.

PMID: 25092494
DOI: 10.1016/j.prrv.2014.06.001

Abstract

Severe obesity is increasing in adolescents and is associated with cardiovascular disease, type 2 diabetes mellitus, obstructive sleep apnoea, polycystic ovarian syndrome and a range of musculoskeletal problems. Premature death is the inevitable outcome of persistent severe obesity in adolescents. In adults with severe obesity, medical and lifestyle interventions have been shown to be expensive and less effective in terms of weight loss than has bariatric surgery. The single completed randomised controlled trial in adolescents shows the same outcome. This is supported by meta analyses of bariatric surgery in adolescent subjects. A more aggressive approach to severe obesity, utilising bariatric surgery in selected cases, within the context of a multi-disciplinary team, is required.

Keywords: Adolescents; Bariatric surgery; Co-morbidities; Follow-up; Premature death; Severe obesity; Weight management.

Publication types

Review

MeSH terms

Adolescent
Adult
Bariatric Surgery*
Humans
Obesity, Morbid / surgery*