Abstract
Severe or morbid obesity, with a BMI exceeding 35–40, is often refractory to all therapies other than surgery. Bariatric or weight loss surgery is not generally recommended in childhood as it is fraught with ethical issues and the potential long-term benefits and complications of enteric diversion are not yet fully understood. On the other hand, it has been suggested that bariatric surgery in adolescents may have less complications and a shorter hospital stay than in adults. The long-term implications of bariatric surgery in children are not yet fully understood, and diligent long-term follow-up of all these patients is required to help determine this.
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Further Reading
Agency for Healthcare Research and Quality and National Guideline Clearinghouse (NGC) Guideline Synthesis. Overweight and obesity in children and adolescents: assessment, prevention, and management, 2005, [online]. Available at: www.guidance.gov
National Health and Medical Research Council. Clinical practice guidelines for the management of overweight and obesity in children and adolescents, 2003, [online]. Available at: http://www.health.gov.au/internet/wcms/publishing.nsf/Content/obesityguidelines-guidelines-children.htm
National Institute for Clinical Excellence (NICE). CG43 Obesity: full guideline. 2006 [online] Available at: http://guidance.nice.org.uk/CG43
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Khan, M.A., Ackroyd, R. (2018). Bariatric Surgery in Children. In: Ledbetter, D., Johnson, P. (eds) Endocrine Surgery in Children. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-662-54256-9_17
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DOI: https://doi.org/10.1007/978-3-662-54256-9_17
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