Adolescent bariatric surgery: ANZ guidance and recommendations

Dixon, John; Fitzgerald, Dominic A.; Kow, Lilian; Bailey, Deborah; Baur, Louise A.

doi:10.1111/j.1445-2197.2011.05897.x

Cited by 12 publications

(4 citation statements)

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“…As an established effective therapy successfully used in adults, it should be carefully evaluated in adolescents [2]. In comparison to intensive behavioral and pharmaceutical therapies for illnesses of childhood and adolescence, bariatric-metabolic surgery has some special barriers that need to be considered: surgery of any type involves physical and physiological changes to healthy normal organs; these changes will have benefits and risks, and some risks may be specific to the age group; these changes are designed to be permanent, and the potential for reversibility of procedures varies considerably.…”

Section: Introductionmentioning

confidence: 99%

Obese Adolescents Report Better Health-Related Quality of Life than Obese Young Adults

et al. 2015

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Obese adolescents seeking intentional weight loss have significant impairment in physical aspects of HRQOL, but self-reported mental HRQOL appears to be similar to community controls. In contrast, obese participants in their 20s report clinically significant impairment in mental HRQOL. When considering adolescents for bariatric surgery, careful assessment is needed. We need a greater understanding of the emotional distress reported by those in their 20s.

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Section: Introductionmentioning

confidence: 99%

Obese Adolescents Report Better Health-Related Quality of Life than Obese Young Adults

et al. 2015

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“…As already indicated, obesity is associated with psychiatric comorbidity [77-86], reduced cognitive abilities [87,88], and verbal skills [89], affecting patient autonomy and competence to consent [90]. Obesity is related to anxiety, depression, and impaired self-esteem [91-95] as well as impaired social relationships [96].…”

Section: Resultsmentioning

confidence: 99%

Bariatric surgery for obese children and adolescents: a review of the moral challenges

Hofmann

2013

BMC Med Ethics

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BackgroundBariatric surgery for children and adolescents is becoming widespread. However, the evidence is still scarce and of poor quality, and many of the patients are too young to consent. This poses a series of moral challenges, which have to be addressed both when considering bariatric surgery introduced as a health care service and when deciding for treatment for young individuals. A question based (Socratic) approach is applied to reveal underlying moral issues that can be relevant to an open and transparent decision making process.DiscussionA wide range of moral issues with bariatric surgery for children and adolescents is identified in the literature. There is a moral imperative to help obese minors avoiding serious health problems, but there is little high quality evidence on safety, outcomes, and cost-effectiveness for bariatric surgery in this group. Lack of maturity and family relations poses a series of challenges with autonomy, informed consent, assent, and assessing the best interest of children and adolescents. Social aspects of obesity, such as medicalization, prejudice, and discrimination, raise problems with justice and trust in health professionals. Conceptual issues, such as definition of obesity and treatment end-points, present moral problems. Hidden interests of patients, parents, professionals, industry, and society need to be revealed.SummaryPerforming bariatric surgery for obese children and adolescents in order to discipline their behavior warrants reflection and caution. More evidence on outcomes is needed to be able to balance benefits and risks, to provide information for a valid consent or assent, and to advise minors and parents.

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“…ANZ Guidelines and recommendations (Dixon et al 2011;Baur and Fitzgerald 2001). IPEG Guidelines for Surgical Treatment of Extremely Obese Adolescents (IPEG Guidelines, J Laparoendosc Adv Surg Tech).…”

Section: Cartilage Lesion Grade IImentioning

confidence: 99%

Morbid Obesity in Adolescents

Widhalm¹,

Prager²

2015

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Adolescent bariatric surgery: ANZ guidance and recommendations

Cited by 12 publications

References 1 publication

Obese Adolescents Report Better Health-Related Quality of Life than Obese Young Adults

Obese Adolescents Report Better Health-Related Quality of Life than Obese Young Adults

Bariatric surgery for obese children and adolescents: a review of the moral challenges

Morbid Obesity in Adolescents

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