Developing Criteria for Pediatric/Adolescent Bariatric Surgery Programs

Author:

Michalsky Marc1,Kramer Robert E.2,Fullmer Michelle A.3,Polfuss Michele4,Porter Renee5,Ward-Begnoche Wendy6,Getzoff Elizabeth A.7,Dreyer Meredith8,Stolzman Stacy4,Reichard Kirk W.9

Affiliation:

1. Department of Pediatric Surgery, Ohio State University College of Medicine, Nationwide Children's Hospital, Columbus, Ohio;

2. Department of Pediatrics, University of Colorado School of Medicine and Children's Hospital Colorado, Aurora, Colorado;

3. Departments of Clinical Nutrition and

4. NEW (Nutrition, Exercise and Weight Management) Kids Program, Children's Hospital of Wisconsin, Milwaukee, Wisconsin;

5. Obesity Treatment Program, Children's Hospital Colorado, Aurora, Colorado;

6. Division of Pediatrics, Obesity Treatment Program, University of Arkansas for Medical Sciences, Arkansas Children's Hospital, Little Rock, Arkansas;

7. Obesity Treatment Program, Mt Washington Pediatric Hospital, Baltimore, Maryland; and

8. Weight Management and General Pediatrics, Children's Mercy Hospitals and Clinics, Kansas City, Missouri

9. Pediatric Surgery, Alfred I. duPont Institute, Wilmington, Delaware;

Abstract

The prevalence of morbid obesity in adolescents is rising at an alarming rate. Comorbidities known to predispose to cardiovascular disease are increasingly being diagnosed in these children. Bariatric surgery has become an acceptable treatment alternative for morbidly obese adults, and criteria have been developed to establish center-of-excellence designation for adult bariatric surgery programs. Evidence suggests that bariatric surgical procedures are being performed with increasing numbers in adolescents. We have examined and compiled the current expert recommendations for guidelines and criteria that are needed to deliver safe and effective bariatric surgical care to adolescents.

Publisher

American Academy of Pediatrics (AAP)

Subject

Pediatrics, Perinatology and Child Health

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