Portal de Periódicos da CAPES

ASMBS pediatric committee best practice guidelines

2011; Elsevier BV; Volume: 8; Issue: 1 Linguagem: Inglês

10.1016/j.soard.2011.09.009

1878-7533

Marc P. Michalsky, Kirk W. Reichard, Thomas H. Inge, Janey Pratt, Carine Lenders,

Birth, Development, and Health

The prevalence of obesity among children and adolescents is rapidly increasing and is associated with substantial co-morbid disease states [ 1 Freedman D.S. Mei Z. Srinivasan S.R. Berenson G.S. Dietz W.H. Cardiovascular risk factors and excess adiposity among overweight children and adolescents: the Bogalusa Heart Study. J Pediatr. 2007; 150 (e2): 12-17 Abstract Full Text Full Text PDF PubMed Scopus (1049) Google Scholar , 2 Thompson D.R. Obarzanek E. Franko D.L. et al. Childhood overweight and cardiovascular disease risk factors: the National Heart, Lung, and Blood Institute Growth and Health Study. J Pediatr. 2007; 150: 18-25 Abstract Full Text Full Text PDF PubMed Scopus (204) Google Scholar ]. At present, a mounting body of evidence supports the use of modern surgical weight loss procedures for carefully selected, extremely obese adolescents [ [3] Inge T.H. Zeller M.H. Lawson L. Daniels S.R. Critical appraisal of the evidence supporting bariatric surgery for weight management in adolescence. J Pediatr. 2005; 147: 10-19 Abstract Full Text Full Text PDF PubMed Scopus (53) Google Scholar ]. Scientific evidence demonstrating the high propensity of severely obese adolescents to become severely obese adults [ [1] Freedman D.S. Mei Z. Srinivasan S.R. Berenson G.S. Dietz W.H. Cardiovascular risk factors and excess adiposity among overweight children and adolescents: the Bogalusa Heart Study. J Pediatr. 2007; 150 (e2): 12-17 Abstract Full Text Full Text PDF PubMed Scopus (1049) Google Scholar ] and the greater associated risk among adults with “juvenile-onset” obesity (i.e., obese adults who became obese during childhood; approximately 25%) [ 4 Whitaker R.C. Wright J.A. Pepe M.S. Seidel K.D. Dietz W.H. Predicting obesity in young adulthood from childhood and parental obesity. N Engl J Med. 1997; 337: 869-873 Crossref PubMed Scopus (3181) Google Scholar , 5 Must A. Jacques P.F. 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Bariatric surgery for morbidly obese adolescents: is there a rationale for early intervention?. Growth Horm IGF Res. 2006; 16: S15-S19 Abstract Full Text Full Text PDF PubMed Scopus (31) Google Scholar , 9 Daniels S.R. Arnett D.K. Eckel R.H. et al. Overweight in children and adolescents: pathophysiology, consequences, prevention, and treatment. Circulation. 2005; 111: 1999-2012 Crossref PubMed Scopus (1108) Google Scholar , 10 Garcia V.F. DeMaria E.J. Adolescent bariatric surgery: treatment delayed, treatment denied, a crisis invited. Obes Surg. 2006; 16: 1-4 Crossref PubMed Scopus (52) Google Scholar ] support the concept of “early” intervention in carefully selected adolescents patients [ [11] Inge T.H. Jenkins T.M. Zeller M. et al. Baseline BMI is a strong predictor of nadir BMI after adolescent gastric bypass. J Pediatr. 2010; 156: 103-108 Abstract Full Text Full Text PDF PubMed Scopus (123) Google Scholar ]. Although current evidence is not sufficiently robust to allow a precise discrimination or recommendations among specific bariatric procedures, an increasing body of data demonstrating evidence of safety and efficacy exists for 2 of the more commonly performed bariatric procedures for this age group (i.e., Roux-en-Y gastric bypass [RYGB] and adjustable gastric band [AGB]) [ 12 Inge T.H. Xanthakos S.A. Zeller M.H. Bariatric surgery for pediatric extreme obesity: now or later?. Int J Obes (Lond). 2007; 31: 1-14 Crossref PubMed Scopus (145) Google Scholar , 13 Inge T.H. Krebs N.F. Garcia V.F. et al. Bariatric surgery for severely overweight adolescents: concerns and recommendations. Pediatrics. 2004; 114: 217-223 Crossref PubMed Scopus (458) Google Scholar , 14 Inge T.H. Zeller M.H. Lawson M.L. Daniels S.R. A critical appraisal of evidence supporting a bariatric surgical approach to weight management for adolescents. 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