ASMBS pediatric committee best practice guidelines

Department of Pediatric Surgery, Center for Healthy Weight and Nutrition, Nationwide Children’s Hospital, Ohio State University College of Medicine, 700 Children’s Drive, Suite ED379, Columbus, OH 43205, USA.
Surgery for Obesity and Related Diseases (Impact Factor: 4.94). 01/2012; 8(1):1-7. DOI: 10.1016/j.soard.2011.09.009
Source: PubMed
  • [Show abstract] [Hide abstract]
    ABSTRACT: Childhood obesity is a tremendous burden for children, their families, and society. Obesity prevention remains the ultimate goal but rapid development and deployment of effective nonsurgical treatment options is not currently achievable given the complexity of this disease. Surgical options for adolescent obesity have been proven to be safe and effective and should be offered. The development of stratified protocols of increasing intensity should be individualized for patients based on their disease severity and risk factors. These protocols should be offered in multidisciplinary, cooperative clinical trials to critically evaluate and develop optimal treatment strategies for morbid obesity.
    Surgical Clinics of North America 06/2012; 92(3):559-82, viii. DOI:10.1016/j.suc.2012.03.007 · 1.93 Impact Factor
  • [Show abstract] [Hide abstract]
    ABSTRACT: Childhood obesity represents a significant challenge for paediatric healthcare delivery. As obesity rates increase, obese children and adolescents are at significant risk for the development of a myriad of medical and surgical problems as well as mental health problems. Moreover, children with mental health problems are increasingly presenting to their psychiatrists with obesity. Treatment of paediatric obesity requires a multidisciplinary approach with incorporation of the family into the treatment plan although still typically only offering suboptimal results. Paediatric providers from all disciplines should focus efforts primarily on obesity prevention and encouragement of healthy lifestyles, while incorporating treatment for obesity when such efforts fail. The goals of this article are to provide an overview of the epidemiology, pathophysiology, genetics, clinical features and treatment strategies for paediatric obesity.
    International Review of Psychiatry 06/2012; 24(3):231-40. DOI:10.3109/09540261.2012.678816 · 1.80 Impact Factor
  • [Show abstract] [Hide abstract]
    ABSTRACT: Rates of obesity in adolescents continue to rise, and available lifestyle and pharmacological interventions have had limited success in reducing excess weight and risk for comorbid health issues. However, ongoing health risks, psychosocial issues, and increased risk of mortality place these adolescents in jeopardy and warrant ongoing investigation for available treatments. Bariatric surgery for adults has had positive medical and psychological outcomes. However, bariatric surgery is a relatively new option for adolescents. Initial findings suggest positive results for excess weight loss and psychosocial improvements, but not without possible risks. Selection of appropriate candidates is essential in the process, specifically considering developmental maturity, family support, and resultant disease burden without surgery. Surgery is not a panacea for the obesity epidemic. Outcome studies are limited and long-term results are unknown, but for extremely obese adolescents, bariatric surgery is promising and should be considered a viable option for appropriate adolescent candidates.
    International Review of Psychiatry 06/2012; 24(3):254-61. DOI:10.3109/09540261.2012.678815 · 1.80 Impact Factor