TY - JOUR
T1 - Surgical management strategies for extremely obese adolescents
AU - Inge, Thomas H.
AU - Xanthakos, Stavra A.
N1 - Funding Information:
This study was undertaken whilst SJM was in receipt of a University of Technology, Sydney postgraduate scholarship. Fluid inclusion research at Imperial College, London was made possible by the award of a postgraduate research bursary, generously provided by the British Council of Australia. In London, SJM was directed by A. Rankin, and received invaluable technical and social assistance from J. J. Wilkinson and the Imperial College 'Bubble Boys'. The final manuscript was prepared while CGS was visiting academic at the University of Newcastle. A. T. Brakel and P. L. Blevin reviewed the original manuscript and their contribution is gratefully acknowledged.
PY - 2008/6/1
Y1 - 2008/6/1
N2 - Surgical weight loss is an appropriate consideration for adolescents with severe obesity and with medical comorbidities who have failed to lose weight through conventional dietary interventions and behavioral modification. Provided that postoperative medical monitoring can be ensured, both RYGB and AGB will likely demonstrate favorable risk:benefit ratios for the adolescent age group. Other procedures such as LSG are increasingly being studied and may also be appropriate for adolescents in the future. Given the epidemic rise in extreme obesity and health complications associated with this problem, and given the improvement in adiposity and comorbidities and quality of life following surgery, pediatric healthcare delivery systems will more commonly need to consider how to provide safe and effective surgical interventions to selected individuals.
AB - Surgical weight loss is an appropriate consideration for adolescents with severe obesity and with medical comorbidities who have failed to lose weight through conventional dietary interventions and behavioral modification. Provided that postoperative medical monitoring can be ensured, both RYGB and AGB will likely demonstrate favorable risk:benefit ratios for the adolescent age group. Other procedures such as LSG are increasingly being studied and may also be appropriate for adolescents in the future. Given the epidemic rise in extreme obesity and health complications associated with this problem, and given the improvement in adiposity and comorbidities and quality of life following surgery, pediatric healthcare delivery systems will more commonly need to consider how to provide safe and effective surgical interventions to selected individuals.
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U2 - 10.1089/obe.2008.0165
DO - 10.1089/obe.2008.0165
M3 - Review article
AN - SCOPUS:45549089504
VL - 4
SP - 111
EP - 116
JO - Obesity and Weight Management
JF - Obesity and Weight Management
SN - 2153-2168
IS - 3
ER -