Bariatric surgery in adolescents: mechanics, metabolism, and medical care.
Obesity is a serious, lifelong, worldwide health problem. Once obese, few people are able to lose their excess weight. Bariatric surgery is an intervention that has produced substantial and sustained weight loss in adults. It is offered increasingly as an option for extremely obese adolescents. Selection criteria have been proposed by several expert consensus panels. Outcomes and metabolic consequences of bariatric surgery on glucose-insulin interactions, diabetes, sleep architecture, the gastrointestinal tract, asthma, cardiovascular dysfunction, renal parameters, polycystic ovarian syndrome, bone health, nutrition, gynecologic concerns, and mental health are reviewed here.
Murray
Pamela J
PJ
Department of Pediatrics, Children's Hospital of Pittsburgh and University of Pittsburgh School of Medicine, 3705 Fifth Avenue, Pittsburgh, PA 15213-2583, USA. murraypj@upmc.edu
D000293:Adolescent; D050110:Bariatric Surgery / Q000009:adverse effects* / Q000145:classification* / Q000295:instrumentation; D001828:Body Image; D001068:Feeding and Eating Disorders / Q000209:etiology; D006801:Humans; D019964:Mood Disorders / Q000209:etiology; D018529:Nutritional Support; D009765:Obesity / Q000503:physiopathology* / Q000523:psychology / Q000601:surgery*; D050177:Overweight / Q000503:physiopathology / Q000523:psychology / Q000601:surgery; D018579:Patient Selection; D017410:Practice Guidelines as Topic; D012890:Sleep