March 2009. Volume 5. Number 1

Bariatric surgery is effective in the pediatric and adolescent population, but its complications should be more accurately quantified

 
 
 
 
 
 
 
 
 
 
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AVC | Critically appraised articles

Treadwell JR, Sun F, Schoelles K. Systematic review and meta-analysis of bariatric surgery for pediatric obesity. Ann Surg. 2008;248:763-76
Reviewers: Suwezda A1, Ibáñez Pradas V2.
1 Trabajo independiente. Berlí­n (Alemania). España.
2 Servicio de Cirugía Pediátrica. Hospital General de Castellón. España.
Correspondence: Alejandro Suwezda. Email: suwezda@gmx.de
Reception date: 06/02/2009
Acceptance date: 08/02/2009
Publication date: 08/02/2009

Abstract

Authors' conclusions: Bariatric surgery in pediatric and adolescent patients results in sustained and clinically significant weight loss, but it also has the potential for serious complications.

Reviewers' comantary: Bariatric surgery appears to be effective in adolescents, although it is not well known the real impact on the follow up in the medium and long term. The most convenient surgical technique and the age these interventions can be made are not determined yet. The methodological quality of future research and reviews should be more rigorous, assessing not only the reduction in body mass index, but also morbidity, mortality, quality of life and economic outcomes to draw appropriate conclusions.

How to cite this article

Suwezda A, Ibáñez Pradas V. La cirugía bariátrica es efectiva en población pediátrica y adolescente, pero sus complicaciones deben cuantificarse de forma más precisa; Evid Pediatr. 2009;5:17.

AVC | Critically appraised articles

Treadwell JR, Sun F, Schoelles K. Systematic review and meta-analysis of bariatric surgery for pediatric obesity. Ann Surg. 2008;248:763-76
Reviewers: Suwezda A1, Ibáñez Pradas V2.
1 Trabajo independiente. Berlí­n (Alemania). España.
2 Servicio de Cirugía Pediátrica. Hospital General de Castellón. España.
Correspondence: Alejandro Suwezda. Email: suwezda@gmx.de
Reception date: 06/02/2009
Acceptance date: 08/02/2009
Publication date: 08/02/2009

How to cite this article

Suwezda A, Ibáñez Pradas V. La cirugía bariátrica es efectiva en población pediátrica y adolescente, pero sus complicaciones deben cuantificarse de forma más precisa; Evid Pediatr. 2009;5:17.

References

  1. Maggard MA, Shugarman LR, Suttorp M, Maglione M, Sugerman HJ, et al. Meta-analysis: surgical treatment of obesity. Ann Intern Med. 2005;142:547-59.
  2. Tice JA, Karliner L, Walsh J, Petersen AJ, Feldman MD. Gastric banding or bypass? A systematic review comparing the two most popular bariatric procedures. Am J Med. 2008;121:885-93.
  3. Sugerman HJ, Sugerman EL, DeMaria EJ, Kellum JM, Kennedy C, Mowery Y, Wolfe LG. Bariatric surgery for severely obese adolescents. J Gastrointest Surg. 2003;7:102-7.
  4. Nadler EP, Youn HA, Ren CJ, Fielding GA. An update on 73 US obese pediatric patients treated with laparoscopic adjustable gastric banding: comorbidity resolution and compliance data. J Pediatr Surg. 2008;43:141-6.
08/02/2009

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