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03-01-2024 | Bariatric Surgery | REVIEW

Metabolic and Bariatric Surgery in Children: Current Practices and Outcomes

Authors: Shayan A. Shah, Noor A. Khan, Faisal G. Qureshi

Published in: Current Obesity Reports | Issue 1/2024

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Abstract

Purpose of Review

This review will examine the most current evidence for Metabolic and Bariatric Surgery (MBS) in the pediatric population, specifically in terms of weight loss outcomes and improvement in comorbid conditions and complications. Additionally, we compare surgical and non-surgical interventions, review current guidelines, and propose a stepwise evidence-based approach to the management of obesity in children.

Recent Findings

MBS is a safe option for appropriately selected pediatric patients which leads to significant and sustained weight loss. This weight loss is associated with improvement of related comorbid conditions. Laparoscopic sleeve gastrectomy (LSG) has emerged as the procedure of choice with a better safety profile. Despite the evidence, very few adolescents undergo MBS. New pharmacologic agents specifically the GLP-1/GIP agents have shown early promise especially in patients under body mass index 40, but the long-term effects are unknown.

Summary

MBS is an effective tool in the management of pediatric obesity, and its use has been recommended by professional societies. Early referral to a multidisciplinary obesity team can help identify appropriate patients.
Literature
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Metadata
Title
Metabolic and Bariatric Surgery in Children: Current Practices and Outcomes
Authors
Shayan A. Shah
Noor A. Khan
Faisal G. Qureshi
Publication date
03-01-2024
Publisher
Springer US
Published in
Current Obesity Reports / Issue 1/2024
Electronic ISSN: 2162-4968
DOI
https://doi.org/10.1007/s13679-023-00540-1

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