• Semin. Pediatr. Surg. · Feb 2020

    Review

    Preoperative considerations for the pediatric patient undergoing metabolic and bariatric surgery.

    • PrattJaney S AJSAStanford University School of Medicine, Palo Alto, CA, USA; Department of Surgery, Stanford University School of Medicine, Stanford, CA 94305, USA. Electronic address: jsapratt@stanford.edu., Sebastian S Roque, Ruben Valera, Kathryn S Czepiel, Deborah D Tsao, and Fatima Cody Stanford.
    • Stanford University School of Medicine, Palo Alto, CA, USA; Department of Surgery, Stanford University School of Medicine, Stanford, CA 94305, USA. Electronic address: jsapratt@stanford.edu.
    • Semin. Pediatr. Surg. 2020 Feb 1; 29 (1): 150890.

    AbstractTo 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.Copyright © 2020 Elsevier Ltd. All rights reserved.

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