TY - JOUR
T1 - Current guidelines for weight loss surgery in adolescents
T2 - A review of the literature
AU - Brei, Michelle N.
AU - Mudd, Shawna
PY - 2014/7
Y1 - 2014/7
N2 - Introduction: The purpose of this review was to synthesize current clinical practice guidelines for weight loss surgery in adolescents in the United States and Canada to guide pediatric nurse practitioners in decisions regarding appropriate patient referral and counseling. Method: A comprehensive search of the literature from 2007 until April 2013 was conducted using the PubMed, Embase, and CINAHL databases, including a hand search of references lists of identified articles. Guidelines pertaining exclusively to the use of weight loss surgery and general obesity treatment guidelines that included recommendations about weight loss surgery in adolescents were included in the review. Results: Variation exists among the guidelines regarding criteria for appropriate age, body mass index, comorbidity, exclusion, and preoperative management. Validation for laparoscopic weight loss surgery techniques in adolescents is provided. Discussion: Weight loss surgery for morbidly obese adolescents is a medically and psychologically complex decision, and primary care providers need to be equipped to address this decision with their patients and families.
AB - Introduction: The purpose of this review was to synthesize current clinical practice guidelines for weight loss surgery in adolescents in the United States and Canada to guide pediatric nurse practitioners in decisions regarding appropriate patient referral and counseling. Method: A comprehensive search of the literature from 2007 until April 2013 was conducted using the PubMed, Embase, and CINAHL databases, including a hand search of references lists of identified articles. Guidelines pertaining exclusively to the use of weight loss surgery and general obesity treatment guidelines that included recommendations about weight loss surgery in adolescents were included in the review. Results: Variation exists among the guidelines regarding criteria for appropriate age, body mass index, comorbidity, exclusion, and preoperative management. Validation for laparoscopic weight loss surgery techniques in adolescents is provided. Discussion: Weight loss surgery for morbidly obese adolescents is a medically and psychologically complex decision, and primary care providers need to be equipped to address this decision with their patients and families.
KW - Adolescent
KW - Guidelines
KW - Weight loss surgery
UR - http://www.scopus.com/inward/record.url?scp=84902809874&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=84902809874&partnerID=8YFLogxK
U2 - 10.1016/j.pedhc.2013.04.005
DO - 10.1016/j.pedhc.2013.04.005
M3 - Article
C2 - 23831377
AN - SCOPUS:84902809874
VL - 28
SP - 288
EP - 294
JO - Journal of Pediatric Health Care
JF - Journal of Pediatric Health Care
SN - 0891-5245
IS - 4
ER -