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Is there a place for bariatric surgery in treating childhood obesity?

¹ University of Bristol and Bristol Royal Hospital for Children, Bristol, UK
² Bristol Royal Hospital for Children, Bristol, UK
³ Department of Surgery, Southmead Hospital, Westbury on Trym, Bristol, UK

Correspondence to:
Dr Julian P H Shield, Reader in Diabetes and Metabolic Endocrinology, University of Bristol & Bristol Royal Hospital for Children, Upper Maudlin St, Bristol, BS2 8AE, UK; j.p.h.shield@bristol.ac.uk

Accepted for publication 24 September 2007

The first 150 words of the full text of this article appear below.

Current NICE guidelines for surgery in adults and children Basic: adults and children In a BMI of 40 kg/m2 or more or between 35 kg/m2 and 40 kg/m2 and other significant disease (for example, type 2 diabetes or high blood pressure) that could be improved by weight lost. All appropriate non-surgical measures have been tried but have failed to achieve or maintain adequate, clinically beneficial weight loss for at least 6 months. The person has been receiving or will receive intensive management in a specialist obesity service. The person is generally fit for anaesthesia and surgery. The person commits to the need for long-term follow-up. Children Bariatric surgery may be considered for young people only in exceptional circumstances and if they have achieved or nearly achieved physiological maturity. The person commits to the need for long-term follow-up. Surgery for obesity should be undertaken only by a multidisciplinary team that can provide paediatric expertise in: Pre-operative assessment, including a risk-benefit analysis that includes preventing complications . . . [Full text of this article]

 

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