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KMID : 1033120140030010006
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대한비만대사외과학회지
2014 Volume.3 No. 1 p.6 ~ p.10
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Bariatric Surgery for Adolescents with Morbid Obesity
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Ahn So-Eun
Kang Won-Me
Kim Young-Mi
Ahn Su-Min
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Abstract
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The prevalence of obesity has reached epidemic proportions among adolescents. Medical therapies only, however, cannotprovide reasonable weight loss in all age groups. Bariatric surgery has been shown to provide a significant and durablealternative for weight loss in the adult and now the adolescent population. Bariatric surgery in the young proved to bemore effective over time than other less-invasive approaches. With the increasing number of morbidly obese children andadolescents with the relative ineffectiveness of medical therapy in these age groups, bariatric surgery consistently providesa solution for significant weight loss and the resolution of comorbidities. Several studies in the past 3 years havedemonstrated the overall effectiveness of adjustable gastric banding, Roux-en-Y gastric bypass and sleeve gastrectomy forweight loss and co-morbidity improvement in adolescents. Clinicians should ensure that an adolescent continues to adhereto the necessary dietary changes, supplemental medications, and life-long monitoring. Growing fund of knowledge in regardto the efficacy and complication rates of bariatric surgery will ultimately result in its more widespread acceptance. It appearsthat bariatric surgery for adolescents has caught on, whether “right” or “wrong.” But the current strict requirements forhaving a bariatric procedure should not be relaxed until we know more.
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KEYWORD
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Bariatric surgery, Adolescent, Morbid obesity
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FullTexts / Linksout information
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Listed journal information
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