Artigo - Open Access.

Idioma principal

Cirurgia bariátrica em adolescentes

Caravatto, Pedro Paulo ; Petry, Tarissa ; Cohen, Ricardo ;

Artigo:

A obesidade na infância e adolescência tornou-se um grave problema de saúde pública. Doenças típicas do adulto relacionadas à obesidade, tais como diabetes tipo 2, hipertensão e dislipidemia, são cada vez mais prevalentes na população jovem, diminuindo consideravelmente a expectativa de vida.Desta forma, é preciso abordar o problema mais precocemente, a fim de evitar as graves consequencias dessas doenças a longo prazo. Neste contexto, a cirurgia bariátrica tem sido tema frequente no manejo da obesidade em indivíduos mais jovens.O tratamento cirúrgico da obesidade em adolescentes apresenta riscos e benefícios a serem considerados e deve-se levar em conta determinadas características psicológicas e emocionais típicas do adolescente.Os resultados iniciais da cirurgia bariátrica em adolescentes são promissores, semelhantes aos observados em adultos, entretanto há necessidade de maior tempo de seguimento para avaliá-los a longo prazo.Neste capítulo, os autores discutem a epidemiologia e o impacto da obesidade infantil, as indicações do tratamento cirúrgico da obesidade, os tipos de procedimentos atualmente realizados e seus resultados.

Artigo:

Pediatric obesity has become a serious problem in public health. Obesity related diseases commonly observed in adults, such as diabetes, hypertension and dyslipidemia, have become increasingly prevalent in teenagers and will have a significantly decrease in life expectancy.Such problem prompts immediate action, such as surgical treatment for obesity at an earlier stage in life in order to avoid adverse outcomes in the long-term. Bariatric surgery in adolescents has its particular risks and benefits that must be accounted for, especially when dealing with unique psychological and emotional needs of the adolescent.Initial outcomes of bariatric surgery in adolescents are promising and available data show they are comparable to those seen in adults. However, long-term data are still needed.In this chapter, the authors discuss the epidemiology and burden of childhood obesity, indications for bariatric surgery in adolescents, types of procedures that are currently being performed and reported outcomes.

Palavras-chave: cirurgia bariátrica, adolescentes, obesidade, bariatric surgery, adolescents, obesity,

Palavras-chave: ,

DOI: 10.5151/medpro-2cisep-018

Referências bibliográficas
  • [1] Ogden CL, Freedman DS. Secular trends in pediatric BMI. Am J Clin Nutr 2012; 95(5): 999-1000.
  • [2] Beydoun MA, Wang Y. Socio-demographic disparities in distribution shifts over time in various adiposity measures among American children and adolescents: What changes in prevalence rates could not reveal. Int J Pediatr Obes 2011; 6(1): 21-35.
  • [3] Freedman DS, Mei Z, Srinivasan SR et al. Cardiovascular risk factors and excess adiposity among overweight children and adolescents: the Bogalusa Heart Study. J Pediatr 2007; 150(1): 12-7.
  • [4] Hipsky J, Kirk S. HealthWorks! Weight management program for children and adolescents. J Am Diet Assoc 2002; 102(3): S64-7.
  • [5] Garcia VF, DeMaria EJ. Adolescent bariatric surgery: treatment delayed, treatment denied, a crisis invited. Obes Surg 2006; 16(1): 1-4.
  • [6] Mechanick JI, Youdim A, Jones DB et al. Clinical practice guidelines for the perioperative nutritional, metabolic, and nonsurgical support of the bariatric patient – 2013 update: cosponsored by American Association of Clinical Endocrinologists, the Obesity Society, and American Society for Metabolic and Bariatric Surgery. Surg Obes Relat Dis 2013; 9(2): 159-91.
  • [7] Inge TH, Zeller MH, Jenkins TM et al. Perioperative outcomes of adolescents undergoing bariatric surgery: the Teen-Longitudinal Assessment of Bariatric Surgery (Teen-LABS) study. JAMA Pediatr 2014; 168(1): 47-53.
  • [8] Black JA, White B, Viner RM et al. Bariatric surgery for obese children and adolescents: a systematic review and meta-analysis. Obes Rev 2013; 14(8): 634-44.
  • [9] Adams TD, Gress RE, Smith SC et al. Long-term mortality after gastric bypass surgery. N Engl J Med 2007; 357(8): 753-61.
  • [10] Olbers T, Gronowitz E, Werling M et al. Two-year outcome of laparoscopic Roux-en-Y gastric bypass in adolescents with severe obesity: results from a Swedish Nationwide Study (AMOS). Int J Obes (Lond) 2012; 36(11): 1388-95.
Como citar:

Caravatto, Pedro Paulo; Petry, Tarissa; Cohen, Ricardo; "Cirurgia bariátrica em adolescentes", p. 162-175 . In: Anais do 2° Congresso Internacional Sabará de Especialidades Pediátricas [=Blucher Medical Proceedings, v.1, n.4]. São Paulo: Blucher, 2014.
ISSN 2357-7282, DOI 10.5151/medpro-2cisep-018

últimos 30 dias | último ano | desde a publicação


downloads


visualizações


indexações