Lifestyle and pharmacologic management before and after bariatric surgery

As metabolic and bariatric surgery (MBS) increasingly becomes a treatment of choice for adolescents with severe obesity, there is a need to understand how to deliver pre- and postoperative care in ways that maximize long-term safety and efficacy. This article describes major pre- and postoperative g...

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Bibliographic Details
Published in:Seminars in pediatric surgery 2020-02, Vol.29 (1), p.150889-150889, Article 150889
Main Authors: Moore, Jaime M., Haemer, Matthew A., Fox, Claudia K.
Format: Article
Language:English
Subjects:
Adolescent
Bariatric Surgery - standards
Humans
Obesity, Morbid - diet therapy
Obesity, Morbid - drug therapy
Obesity, Morbid - surgery
Obesity, Morbid - therapy
Pediatric Obesity - diet therapy
Pediatric Obesity - drug therapy
Pediatric Obesity - surgery
Pediatric Obesity - therapy
Postoperative Care - standards
Preoperative Care - standards
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Summary:As metabolic and bariatric surgery (MBS) increasingly becomes a treatment of choice for adolescents with severe obesity, there is a need to understand how to deliver pre- and postoperative care in ways that maximize long-term safety and efficacy. This article describes major pre- and postoperative goals, lifestyle modification targets, and, when necessary, pharmacologic management strategies for adolescents undergoing MBS. Three categories of evidence were used-studies of pre- and postoperative interventions and factors influencing MBS outcomes in adolescents, studies of pre- and postoperative associations and interventions in adults, and studies of non-surgical weight management applicable to adolescents pursuing MBS. Finally, priority areas for future research within this topic are identified.
ISSN:1055-8586
1532-9453
DOI:10.1016/j.sempedsurg.2020.150889