Preoperative considerations for the pediatric patient undergoing metabolic and bariatric surgery

To ensure successful outcomes in pediatric patients with severe obesity who undergo metabolic and bariatric surgery (MBS), a number of pre-operative patient management options should be considered. This manuscript will review the indications and contraindications of MBS and special considerations fo...

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Bibliographic Details
Published in:Seminars in pediatric surgery 2020-02, Vol.29 (1), p.150890-150890, Article 150890
Main Authors: Pratt, Janey S.A., Roque, Sebastian S., Valera, Ruben, Czepiel, Kathryn S., Tsao, Deborah D., Stanford, Fatima Cody
Format: Article
Language:English
Subjects:
Adolescent
Bariatric surgery
Bariatric Surgery - standards
Clinical Decision-Making
Humans
Obesity
Obesity, Morbid - surgery
Patient Care Team - standards
Pediatric Obesity - surgery
Pediatrics
Preoperative Care - standards
Preoperative evaluation
Severe obesity
Adolescents
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Summary:To ensure successful outcomes in pediatric patients with severe obesity who undergo metabolic and bariatric surgery (MBS), a number of pre-operative patient management options should be considered. This manuscript will review the indications and contraindications of MBS and special considerations for youth who might benefit from MBS. The treatment team conducts a thorough pre-operative evaluation, assessing risks and benefits of surgical intervention, and prepares patients and families to be successful with MBS by providing education about the surgical intervention and lifestyle changes that will be necessary. This article reviews the pre-operative considerations for adolescents with severe obesity who are being considered for MBS, based upon recent clinical practice guidelines.
ISSN:1055-8586
1532-9453
DOI:10.1016/j.sempedsurg.2020.150890