Preoperative considerations for the pediatric patient undergoing metabolic and bariatric surgery

Janey S A Pratt; Sebastian S Roque; Ruben Valera; Kathryn S Czepiel; Deborah D Tsao; Fatima Cody Stanford

doi:10.1016/j.sempedsurg.2020.150890

Preoperative considerations for the pediatric patient undergoing metabolic and bariatric surgery

Semin Pediatr Surg. 2020 Feb;29(1):150890. doi: 10.1016/j.sempedsurg.2020.150890. Epub 2020 Jan 20.

Authors

Janey S A Pratt¹, Sebastian S Roque², Ruben Valera², Kathryn S Czepiel³, Deborah D Tsao⁴, Fatima Cody Stanford⁵

Affiliations

¹ Stanford University School of Medicine, Palo Alto, CA, USA; Department of Surgery, Stanford University School of Medicine, Stanford, CA 94305, USA. Electronic address: [email protected].
² Tufts University School of Medicine, Boston, MA, USA.
³ Department of Pediatrics, Massachusetts General Hospital, Boston, MA, USA; Harvard Medical School, Boston, MA, USA.
⁴ Stanford University School of Medicine, Palo Alto, CA, USA.
⁵ Harvard Medical School, Boston, MA, USA; Internal Medicine- Neuroendocrine Division and Pediatric Endocrinology, Massachusetts General Hospital, Boston, MA, USA.

Abstract

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.

Keywords: Bariatric surgery; Obesity; Pediatrics; Preoperative evaluation; Severe obesity;Adolescents.

Publication types

Review

MeSH terms

Adolescent
Bariatric Surgery / standards*
Clinical Decision-Making*
Humans
Obesity, Morbid / surgery*
Patient Care Team / standards*
Pediatric Obesity / surgery*
Preoperative Care / standards*

Abstract

Publication types

MeSH terms

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