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Pediatric Metabolic and Bariatric Surgery: Evidence, Barriers, and Best Practices.

Publication ,  Journal Article
Armstrong, SC; Bolling, CF; Michalsky, MP; Reichard, KW; SECTION ON OBESITY, SECTION ON SURGERY,
Published in: Pediatrics
December 2019

Severe obesity among youth is an "epidemic within an epidemic" and portends a shortened life expectancy for today's children compared with those of their parents' generation. Severe obesity has outpaced less severe forms of childhood obesity in prevalence, and it disproportionately affects adolescents. Emerging evidence has linked severe obesity to the development and progression of multiple comorbid states, including increased cardiometabolic risk resulting in end-organ damage in adulthood. Lifestyle modification treatment has achieved moderate short-term success among young children and those with less severe forms of obesity, but no studies to date demonstrate significant and durable weight loss among youth with severe obesity. Metabolic and bariatric surgery has emerged as an important treatment for adults with severe obesity and, more recently, has been shown to be a safe and effective strategy for groups of youth with severe obesity. However, current data suggest that youth with severe obesity may not have adequate access to metabolic and bariatric surgery, especially among underserved populations. This report outlines the current evidence regarding adolescent bariatric surgery, provides recommendations for practitioners and policy makers, and serves as a companion to an accompanying technical report, "Metabolic and Bariatric Surgery for Pediatric Patients With Severe Obesity," which provides details and supporting evidence.

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Published In

Pediatrics

DOI

EISSN

1098-4275

Publication Date

December 2019

Volume

144

Issue

6

Location

United States

Related Subject Headings

  • Young Adult
  • Practice Guidelines as Topic
  • Pediatrics
  • Pediatric Obesity
  • Male
  • Humans
  • Health Services Accessibility
  • Female
  • Evidence-Based Medicine
  • Cohort Studies
 

Citation

APA
Chicago
ICMJE
MLA
NLM
Armstrong, S. C., Bolling, C. F., Michalsky, M. P., Reichard, K. W., & SECTION ON OBESITY, SECTION ON SURGERY, . (2019). Pediatric Metabolic and Bariatric Surgery: Evidence, Barriers, and Best Practices. Pediatrics, 144(6). https://doi.org/10.1542/peds.2019-3223
Armstrong, Sarah C., Christopher F. Bolling, Marc P. Michalsky, Kirk W. Reichard, and Kirk W. SECTION ON OBESITY, SECTION ON SURGERY. “Pediatric Metabolic and Bariatric Surgery: Evidence, Barriers, and Best Practices.Pediatrics 144, no. 6 (December 2019). https://doi.org/10.1542/peds.2019-3223.
Armstrong SC, Bolling CF, Michalsky MP, Reichard KW, SECTION ON OBESITY, SECTION ON SURGERY. Pediatric Metabolic and Bariatric Surgery: Evidence, Barriers, and Best Practices. Pediatrics. 2019 Dec;144(6).
Armstrong, Sarah C., et al. “Pediatric Metabolic and Bariatric Surgery: Evidence, Barriers, and Best Practices.Pediatrics, vol. 144, no. 6, Dec. 2019. Pubmed, doi:10.1542/peds.2019-3223.
Armstrong SC, Bolling CF, Michalsky MP, Reichard KW, SECTION ON OBESITY, SECTION ON SURGERY. Pediatric Metabolic and Bariatric Surgery: Evidence, Barriers, and Best Practices. Pediatrics. 2019 Dec;144(6).

Published In

Pediatrics

DOI

EISSN

1098-4275

Publication Date

December 2019

Volume

144

Issue

6

Location

United States

Related Subject Headings

  • Young Adult
  • Practice Guidelines as Topic
  • Pediatrics
  • Pediatric Obesity
  • Male
  • Humans
  • Health Services Accessibility
  • Female
  • Evidence-Based Medicine
  • Cohort Studies