title: Pediatric and adolescent obesity: management, options for surgery, and outcomes.
abstract: The past four decades have witnessed a marked rise in the number of children and adolescents with obesity. Severe obesity has also become increasingly prevalent. More young patients who have obesity are being referred for weight management and weight loss surgery, thus posing new challenges to both the medical personnel who care for them as well as the institutions in which that care is provided. This manuscript is generated from the material presented at the Education Day symposium entitled "Surgical Care of the Obese Child" held at the 42nd Annual Meeting of the American Pediatric Surgical Association in Palm Desert, CA, on May 22, 2011. Herein the presenters at the symposium update the material addressing evaluation of a young person for weight loss surgery (including the team approach to patient evaluation and institutional infrastructure and responsibilities). The procedures most frequently available to young patients with obesity are identified, and current outcomes, trends, and future direction are also discussed.
authors.affiliation: Division of Pediatric Surgery, Columbia University Medical Center and Morgan Stanley Children's Hospital of New York Presbyterian, New York, NY, USA. Electronic address: jlz2@columbia.edu.
authors.forename: Jeffrey L
authors.initials: JL
authors.lastname: Zitsman
authors.affiliation: Division of Pediatric and Thoracic Surgery, Cincinnati Children's Hospital Medical Center, Cincinnati, OH, USA.
authors.forename: Thomas H
authors.initials: TH
authors.lastname: Inge
authors.affiliation: Department of Surgery, Nemours A.I. DuPont Hospital for Children, Wilmington, DE, USA.
authors.forename: Kirk W
authors.initials: KW
authors.lastname: Reichard
authors.affiliation: Department of Surgery, University of Massachusetts Medical School, Worcester, MA, USA.
authors.forename: Allen F
authors.initials: AF
authors.lastname: Browne
authors.affiliation: Division of Pediatric Surgery, Department of Surgery, Children's of Alabama, University of Alabama at Birmingham, Birmingham, AL, USA.
authors.forename: Carroll M
authors.initials: CM
authors.lastname: Harmon
authors.affiliation: Department of Surgery, Division of Pediatric Surgery, The Ohio State University College of Medicine and Nationwide Children's Hospital, Columbus, OH, USA.
authors.forename: Marc P
authors.initials: MP
authors.lastname: Michalsky
mesh_terms: D000293:Adolescent; D000367:Age Factors; D050110:Bariatric Surgery / Q000009:adverse effects / Q000379:methods / Q000706:statistics & numerical data; D002648:Child; D002986:Clinical Trials as Topic; D004867:Equipment Design; D005160:Facility Design and Construction; D006801:Humans; D010535:Laparoscopy / Q000379:methods; D015201:Meta-Analysis as Topic; D009765:Obesity / Q000453:epidemiology / Q000601:surgery*; D010348:Patient Care Team; D011178:Postgastrectomy Syndromes / Q000453:epidemiology; D016896:Treatment Outcome; D061217:Weight Reduction Programs
keywords: Adolescent weight loss surgery; Obesity surgery