Preoperative considerations for the pediatric patient undergoing metabolic and bariatric surgery
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In brief
In brief
Comprehensive review of preoperative management for adolescents with severe obesity undergoing metabolic and bariatric surgery. Covers patient selection criteria, contraindications, multidisciplinary evaluation protocols, and family preparation strategies based on current clinical practice guidelines.
Written by the GCMD Library team from the article.
Publication date: Available online 20 January 2020
Source: Seminars in Pediatric Surgery
Author(s): Janey S.A. Pratt, Sebastian S. Roque, Ruben Valera, Kathryn S. Czepiel, Deborah D. Tsao, Fatima Cody Stanford
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.