Journal
PEDIATRICS
Volume 144, Issue 6, Pages -Publisher
AMER ACAD PEDIATRICS
DOI: 10.1542/peds.2019-3224
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Severe obesity affects the health and well-being of millions of children and adolescents in the United States and is widely considered to be an epidemic within an epidemic that poses a major public health crisis. Currently, few effective treatments for severe obesity exist. Metabolic and bariatric surgery are existing but underuse treatment options for pediatric patients with severe obesity. Roux-en-Y gastric bypass and vertical sleeve gastrectomy are the most commonly performed metabolic and bariatric procedures in the United States and have been shown to result in sustained short-, mid-, and long-term weight loss, with associated resolution of multiple obesity-related comorbid diseases. Substantial evidence supports the safety and effectiveness of surgical weight loss for children and adolescents, and robust best practice guidelines for these procedures exist.
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