Lifestyle and Pharmacologic Management Before and After Bariatric Surgery

Topic overview

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.

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