The prevalence of obesity among children and adolescents is rapidly increasing and
is associated with substantial co-morbid disease states [
1
,
2
]. At present, a mounting body of evidence supports the use of modern surgical weight
loss procedures for carefully selected, extremely obese adolescents [
[3]
]. Scientific evidence demonstrating the high propensity of severely obese adolescents
to become severely obese adults [
[1]
] and the greater associated risk among adults with “juvenile-onset” obesity (i.e.,
obese adults who became obese during childhood; approximately 25%) [
4
,
5
,
6
,
7
] combined with the evidence demonstrating improvement in obesity-related co-morbid
diseases after weight loss induced by bariatric surgery [
8
,
9
,
10
] support the concept of “early” intervention in carefully selected adolescents patients
[
[11]
]. Although current evidence is not sufficiently robust to allow a precise discrimination
or recommendations among specific bariatric procedures, an increasing body of data
demonstrating evidence of safety and efficacy exists for 2 of the more commonly performed
bariatric procedures for this age group (i.e., Roux-en-Y gastric bypass [RYGB] and adjustable gastric band [AGB]) [
12
,
13
,
14
,
15
].To read this article in full you will need to make a payment
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References
- Cardiovascular risk factors and excess adiposity among overweight children and adolescents: the Bogalusa Heart Study.J Pediatr. 2007; 150 (e2): 12-17
- Childhood overweight and cardiovascular disease risk factors: the National Heart, Lung, and Blood Institute Growth and Health Study.J Pediatr. 2007; 150: 18-25
- Critical appraisal of the evidence supporting bariatric surgery for weight management in adolescence.J Pediatr. 2005; 147: 10-19
- Predicting obesity in young adulthood from childhood and parental obesity.N Engl J Med. 1997; 337: 869-873
- Long-term morbidity and mortality of overweight adolescents: a follow-up of the Harvard Growth Study of 1922 to 1935.N Engl J Med. 1992; 327: 1350-1355
- Relation of weight and rate of increase in weight during childhood and adolescence to body size, blood pressure, fasting insulin, and lipids in young adults: the Minneapolis Children's Blood Pressure study.Circulation. 1999; 99: 1471-1476
- Relation between obesity from childhood to adulthood and the metabolic syndrome: population based study.BMJ. 1998; 317: 319
- Bariatric surgery for morbidly obese adolescents: is there a rationale for early intervention?.Growth Horm IGF Res. 2006; 16: S15-S19
- Overweight in children and adolescents: pathophysiology, consequences, prevention, and treatment.Circulation. 2005; 111: 1999-2012
- Adolescent bariatric surgery: treatment delayed, treatment denied, a crisis invited.Obes Surg. 2006; 16: 1-4
- Baseline BMI is a strong predictor of nadir BMI after adolescent gastric bypass.J Pediatr. 2010; 156: 103-108
- Bariatric surgery for pediatric extreme obesity: now or later?.Int J Obes (Lond). 2007; 31: 1-14
- Bariatric surgery for severely overweight adolescents: concerns and recommendations.Pediatrics. 2004; 114: 217-223
- A critical appraisal of evidence supporting a bariatric surgical approach to weight management for adolescents.J Pediatr. 2005; 147: 10-19
- Bariatric surgery in adolescents: recent national trends in use and in-hospital outcome.Arch Pediatr Adolesc Med. 2007; 161: 217-221
- Best practice updates for pediatric/adolescent weight loss surgery.Obes Silver Spring. 2009; 17: 901-910
- Systematic review and meta-analysis of bariatric surgery for pediatric obesity.Ann Surg. 2008; 248: 763-776
- The global spread of type 2 diabetes mellitus in children and adolescents.J Pediatr. 2005; 146: 693-700
- First national audit of the outcomes of care in young people with diabetes in New Zealand: high prevalence of nephropathy in Maori and Pacific Islanders.N Z Med J. 2006; 119: U2015
- Diabetes in children and young adults in Waikato Province, New Zealand: outcomes of care.N Z Med J. 2004; 117: U1219
- Diagnostic criteria for non-insulin dependent diabetes in youth (NIDDM-Y).Clin Pediatr (Phila). 1998; 37: 67-71
- Reversal of type 2 diabetes mellitus and improvements in cardiovascular risk factors after surgical weight loss in adolescents.Pediatrics. 2009; 123: 214-222
- Sleep-disordered breathing in overweight and obese children and adolescents: prevalence, characteristics and the role of fat distribution.Arch Dis Child. 2007; 92: 205-208
- Prevalence of fatty liver in children and adolescents.Pediatrics. 2006; 118: 1388-1393
- The evolution of severe steatosis after bariatric surgery is related to insulin resistance.Gastroenterology. 2006; 130: 1617-1624
- Effects of surgical treatment of the metabolic syndrome on liver fibrosis and cirrhosis.Surgery. 2004; 135: 48-58
- Impact of major co-morbidities on mortality and complications after gastric bypass.Surg Obes Relat Dis. 2005; 1: 511-516
- Gastric surgery for pseudotumor cerebri associated with severe obesity.Ann Surg. 1999; 229: 634-642
- Clinical resolution of severely symptomatic pseudotumor cerebri after gastric bypass in an adolescent.Surg Obes Relat Dis. 2007; 3: 198-200
- Multiple benefits of bariatric surgery.Manag Care. 2005; 14: 16-21
- Obstructive sleep apnoea and obesity.HK Med J. 2004; 10: 144
- Obesity in youth is not an independent predictor of carotid IMT in adulthood: the Cardiovascular Risk in Young Finns study.Atherosclerosis. 2006; 185: 388-393
- Bariatric surgery: a systematic review and meta-analysis.JAMA. 2004; 292: 1724-1737
- Instability in the diagnosis of metabolic syndrome in adolescents.Circulation. 2007; 115: 2316-2322
- Longitudinal relationships among overweight, life satisfaction, and aspirations in young women.Obes Res. 2004; 12: 1019-1030
- Health-related quality of life in overweight and nonoverweight black and white adolescents.J Pediatr. 2005; 147: 443-450
- Social marginalization of overweight children.Arch Pediatr Adolesc Med. 2003; 157: 746-752
- Predictors of health-related quality of life in obese youth.Obes Silver Spring. 2006; 14: 122-130
- Health-related quality of life and depressive symptoms in adolescents with extreme obesity presenting for bariatric surgery.Pediatrics. 2006; 117: 1155-1161
- Laparoscopic adjustable gastric banding in adolescents: the Austrian experience.Obes Surg. 2006; 16: 1062-1067
- Laparoscopic gastric banding in adolescents.Obes Surg. 2006; 16: 1318-1322
- Health-related quality of life before and after bariatric surgery in adolescents.J Pediatr Surg. 2008; 43: 1275-1279
- Rates of psychiatric disorders in a clinical study group of adolescents with extreme obesity and in obese adolescents ascertained via a population based study.Int J Obes Relat Metab Disord. 2000; 24: 1707-1714
- Is family-based behavioral weight control appropriate for severe pediatric obesity?.Int J Eat Disord. 2001; 30: 318-328
- Psychological adjustment of obese youth presenting for weight management treatment.Obes Res. 2004; 12: 1576-1586
- Expectations and outcomes with gastric bypass surgery.Obes Surg. 2006; 16: 1622-1629
- Psychosocial functioning improves following adolescent bariatric surgery.Obes Silver Spring. 2009; 17: 985-990
- Long-term mortality after gastric bypass surgery.N Engl J Med. 2007; 357: 753-761
- Gastrointestinal surgery for severe obesity: National Institutes of Health Consensus Development Conference Statement.Am J Clin Nutr. 1992; 55: 615S-619S
- Surgical Management of Obesity and Post-Operative Care.(In: Foundation CSMAD, editor.)in: Nutrition and Metabolism. Aristedes Daskalopoulos Foundation, Athens, Greece2007
- Inter-disciplinary European guidelines on surgery of severe obesity.Int J Obes (Lond). 2007; 31: 569-577
- Do psychosocial variables predict weight loss or mental health after obesity surgery?.Obes Res. 2004; 12: 1554-1569
- Medication non-adherence in the adolescent renal transplant recipient: a clinician's viewpoint.Pediatr Transplant. 2005; 9: 398-407
- Nutritional consequences of bariatric surgery.Curr Opin Clin Nutr Metab Care. 2006; 9: 489-496
- Nutrient deficiencies secondary to bariatric surgery.Curr Opin Clin Nutr Metab Care. 2004; 7: 569-575
- Beriberi after gastric bypass surgery in adolescence.J Pediatr. 2004; 145: 263-267
- Calcium and vitamin D status in the adolescent: key roles for bone, body weight, glucose tolerance, and estrogen biosynthesis.J Pediatr Adolesc Gynecol. 2005; 18: 305-311
- Vitamin D deficiency in adolescent females.J Adolesc Health. 2005; 37: 75
- Pregnancy after gastric by-pass surgery in adolescents.Obes Surg. 2007; 17: 873-877
- Pregnancy and fertility following bariatric surgery: a systematic review.JAMA. 2008; 300: 2286-2296
- Ethical issues in pediatric bariatric surgery.Semin Pediatr Surg. 2009; 18: 186-192
- One-year outcomes of Roux-en-Y gastric bypass for morbidly obese adolescents: a multicenter study from the Pediatric Bariatric Study Group.J Pediatr Surg. 2006; 41: 137-143
- Bariatric surgery for severely obese adolescents.J Gastrointest Surg. 2003; 7: 102-108
- Adolescents having obesity surgery: a 6-year follow-up.South Med J. 1994; 87: 1208-1213
- Long-term follow-up and the role of surgery in adolescents with morbid obesity.Surg Obes Relat Dis. 2005; 1: 394-398
- Initial outcomes of laparoscopic Roux-en-Y gastric bypass in morbidly obese adolescents.Surg Obes Relat Dis. 2007; 3: 147-152
- Obese teenagers treated by Lap-Band System: the Italian experience.Surgery. 2005; 138: 877-881
- Laparoscopic adjustable gastric banding for the treatment of adolescent morbid obesity in the United States: a safe alternative to gastric bypass.J Pediatr Surg. 2005; 40: 86-91
- Laparoscopic adjustable gastric banding in severely obese adolescents; a randomized trial.JAMA. 2010; 303: 519-526
- Laparoscopic adjustable gastric banding for morbidly obese adolescents affects android fat loss, resolution of comorbidities, and improved metabolic status.J Am Coll Surg. 2009; 209: 638-644
Jen HC, Rickard DG, Shew SB, et al. Trends and outcomes of adolescent bariatric surgery in California, 2005–2007. Pediatrics 126: e746–53.
- A prospective trial for laparoscopic adjustable gastric banding in morbidly obese adolescents: an interim report of weight loss, metabolic and quality of life outcomes.J Pediatr Surg. 2010; 45: 74-79
- Bariatric surgery in adolescents: a long-term follow-up study.Surg Obes Relat Dis. 2007; 3: 465-468
- Efficacy of laparoscopic sleeve gastrectomy (LSG) as a stand-alone technique for children with morbid obesity.Obes Surg. 2008; 18: 1047-1049
Article info
Publication history
Published online: September 26, 2011
Accepted:
September 16,
2011
Received:
September 16,
2011
Identification
Copyright
© 2012 American Society for Metabolic and Bariatric Surgery. Published by Elsevier Inc. All rights reserved.
