Lifestyle and Pharmacologic Management Before and After Bariatric Surgery
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In brief
In brief
This article provides evidence-based guidance for pre- and postoperative management of adolescents undergoing metabolic and bariatric surgery. It synthesizes research on lifestyle modifications, pharmacologic strategies, and factors influencing surgical outcomes to optimize long-term safety and efficacy in pediatric patients with severe obesity.
Written by the GCMD Library team from the article.
Publication date: Available online 19 January 2020
Source: Seminars in Pediatric Surgery
Author(s): Jaime M. Moore, Matthew A. Haemer, Claudia K. Fox
Abstract
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.