Adolescent bariatric surgery: the Canadian perspective.
Canada faces a similar epidemic of obesity in their adolescent population as other Western countries. However, the development of programs to treat obesity and manage its sequelae has evolved in a unique way. This is in part due to differences in health care funding, population distribution, public demand, and availability of expertise and resources. In this article, we will describe the evolution of adolescent bariatric care in Canada and describe the current programs and future directions. The focus will be on the province of Ontario, the site of the first adolescent bariatric program in the country.
Division of Pediatric Surgery, Dalhousie University, IWK Heath Centre, Halifax, Nova Scotia, Canada.
Dafydd A
DA
Davies
Division of Endorinology, Hospital for Sick Children, University of Toronto, Toronto, Ontario, Canada.
Jill
J
Hamilton
Department of Psychology, Hospital for Sick Children, Toronto, Ontario, Canada.
Elizabeth
E
Dettmer
Division of Pediatric Medicine and the Pediatric Outcomes Research Team (PORT), Hospital for Sick Children, University of Toronto, Toronto, Ontario, Canada.
Catherine
C
Birken
Division of Endorinology, Hospital for Sick Children, University of Toronto, Toronto, Ontario, Canada.
Allison
A
Jeffery
Minimally Invasive Surgery Group, Humber River Regional Hospital, University of Toronto, Toronto, Ontario, Canada.
John
J
Hagen
Ontario Bariatric Network, Hamilton, Ontario, Canada; Centre for Surgical Invention and Innovation, Hamilton, Ontario, Canada.
Mehran
M
Anvari
Division of General and Thoracic Surgery, Room 1505, The Hospital for Sick Children, University of Toronto, 555 University Ave., Toronto, Ontario, Canada. Electronic address: jacob.langer@sickkids.ca.
Jacob C
JC
Langer
D000293:Adolescent; D050110:Bariatric Surgery / Q000379:methods; D002170:Canada / Q000453:epidemiology; D005260:Female; D006801:Humans; D008297:Male; D009313:National Health Programs; D009864:Ontario / Q000453:epidemiology; D063766:Pediatric Obesity / Q000453:epidemiology / Q000601:surgery* / Q000628:therapy; D015397:Program Evaluation; D016896:Treatment Outcome; D061217:Weight Reduction Programs
Adolescent; Bariatric surgery; Canada; Single-payer health care