Published Online First: 1 October 2007. doi:10.1136/adc.2006.113316
Archives of Disease in Childhood 2008;
93:369-372
Copyright © 2008 BMJ Publishing Group Ltd & Royal College of Paediatrics and Child Health.
Leading articles
Is there a place for bariatric surgery in treating childhood obesity?
J P H Shield1,
E Crowne2,
J Morgan3
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
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 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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eLetters:
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- Yes, there is a place for bariatric surgery (and paediatric surgeons) in childhood obesity
- Niall M Jones
- ADC Online, 21 Nov 2007
[Full text]
