title: Adolescent bariatric surgery--thoughts and perspectives from the UK.
abstract: Opinions of healthcare professionals in the United Kingdom regarding bariatric surgery in adolescents are largely unknown. This study aims to explore the perspectives of medical professionals regarding adolescent bariatric surgery. Members of the British Obesity and Metabolic Surgery Society and groups of primary care practitioners based in London were contacted by electronic mail and invited to complete an anonymous online survey consisting of 21 questions. Ninety-four out of 324 questionnaires were completed. 66% of professionals felt that adolescents with a body mass index (BMI) >40 or BMI >35 with significant co-morbidities can be offered surgery. Amongst pre-requisites, parental psychological counseling was chosen most frequently. 58% stated 12 months as an appropriate period for weight management programs, with 24% regarding 6 months as sufficient. Most participants believed bariatric surgery should only be offered ≥ 16 years of age. However, 17% of bariatric surgeons marked no minimum age limit. Over 80% of the healthcare professionals surveyed consider bariatric surgery in adolescents to be acceptable practice. Most healthcare professionals surveyed feel that adolescent bariatric surgery is an acceptable therapeutic option for adolescent obesity. These views can guide towards a consensus opinion and further development of selection criteria and care pathways.
authors.affiliation: UCLH Department of Weight Loss, Metabolic and Endocrine Surgery, University College London Hospital, 235 Euston Road, London NW1 2BU, UK. m.penna@doctors.org.uk.
authors.forename: Marta
authors.initials: M
authors.lastname: Penna
authors.affiliation: UCLH Department of Weight Loss, Metabolic and Endocrine Surgery, University College London Hospital, 235 Euston Road, London NW1 2BU, UK. sheraz_markar@hotmail.com.
authors.forename: Sheraz
authors.initials: S
authors.lastname: Markar
authors.affiliation: UCLH Department of Weight Loss, Metabolic and Endocrine Surgery, University College London Hospital, 235 Euston Road, London NW1 2BU, UK. jimhewes@hotmail.com.
authors.forename: James
authors.initials: J
authors.lastname: Hewes
authors.affiliation: UCLH Department of Weight Loss, Metabolic and Endocrine Surgery, University College London Hospital, 235 Euston Road, London NW1 2BU, UK. alberic@agtwf.co.uk.
authors.forename: Alberic
authors.initials: A
authors.lastname: Fiennes
authors.affiliation: UCLH Department of Weight Loss, Metabolic and Endocrine Surgery, University College London Hospital, 235 Euston Road, London NW1 2BU, UK. niallmartinjones@yahoo.co.uk.
authors.forename: Niall
authors.initials: N
authors.lastname: Jones
authors.affiliation: UCLH Department of Weight Loss, Metabolic and Endocrine Surgery, University College London Hospital, 235 Euston Road, London NW1 2BU, UK. majid.hashemi@btopenworld.com.
authors.forename: Majid
authors.initials: M
authors.lastname: Hashemi
mesh_terms: D000293:Adolescent; D001291:Attitude of Health Personnel; D050110:Bariatric Surgery; D006801:Humans; D063766:Pediatric Obesity / Q000601:surgery*; D006113:United Kingdom