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Bariatric Surgery to Reverse Metabolic Syndrome in Adolescents

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Pediatric Metabolic Syndrome

Abstract

Adolescent obesity is a public health crisis with serious immediate and long-term health consequences. Currently, prevention is the best solution, but this may prove difficult in a world with a growing epidemic of childhood obesity. Bariatric surgery is the only proven intervention that provides sustained weight loss as well as improvement and resolution of obesity-related comorbidities. Prior to any surgical intervention, patients must go through a comprehensive evaluation phase. Available procedures are either restrictive or malabsorptive, with the most common being the Roux-en-Y gastric bypass and laparoscopic adjustable gastric banding. With the advent of laparoscopy, hospital stays have become short, but postoperative complications can still occur. The risks and benefits of operating on these obese adolescents with multiple comorbid conditions must be weighed and thoroughly discussed with patients and their families. According to published studies, there is a proven benefit to obese adolescents, even though most patients do not reach their ideal body weight. Almost all experience an improvement or resolution of comorbid conditions such as metabolic syndrome, diabetes, hyperlipidemia, hypertension, and sleep apnea. These results could have significant, long-lasting benefits on the adolescent patient. Given the young age of these patients, there should be an emphasis on a multidisciplinary approach in their treatment in order to improve compliance. Bariatric surgery appears to be the most effective means of achieving sustained weight loss with improvement or resolution of obesity-related comorbidities in the adolescent population.

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Author information

Authors and Affiliations

  1. Department of Surgery, Jackson Memorial Hospital, University of Miami, Miami, FL, USA

    Noor Kassira M.D.

  2. The DeWitt Daughtry Family Department of Surgery, University of Miami Miller School of Medicine, Miami, FL, USA

    Valerie Ann Marks B.A.

  3. Division of Laparoendoscopic and Bariatric Surgery, The DeWitt Daughtry Family Department of Surgery, University of Miami Miller School of Medicine, 3650 NW 82nd Avenue, Suite 305, Miami, FL, 33166, USA

    Nestor de la Cruz-Muñoz M.D.

Authors
  1. Noor Kassira M.D.
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  2. Valerie Ann Marks B.A.
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  3. Nestor de la Cruz-Muñoz M.D.
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Corresponding author

Correspondence to Nestor de la Cruz-Muñoz M.D. .

Editor information

Editors and Affiliations

  1. , Pediatrics, Miller School of Medicine, D820, Miami, 33101-6820, Florida, USA

    Steven E. Lipshultz

  2. , Pediatrics, Miller School of Medicine, 1580 NW 10th Avenue, Miami, 33130, USA

    Sarah E. Messiah

  3. , Pediatrics, Miller School of Medicine, 1580 NW 10th Avenue #123, Miami, 33101, USA

    Tracie L. Miller

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© 2012 Springer-Verlag London

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Kassira, N., Marks, V.A., de la Cruz-Muñoz, N. (2012). Bariatric Surgery to Reverse Metabolic Syndrome in Adolescents. In: Lipshultz, S., Messiah, S., Miller, T. (eds) Pediatric Metabolic Syndrome. Springer, London. https://doi.org/10.1007/978-1-4471-2366-8_17

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  • DOI: https://doi.org/10.1007/978-1-4471-2366-8_17

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  • Publisher Name: Springer, London

  • Print ISBN: 978-1-4471-2365-1

  • Online ISBN: 978-1-4471-2366-8

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