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Int. J. Environ. Res. Public Health 2014, 11(1), 573-582; doi:10.3390/ijerph110100573
Article

Adolescent Bariatric Surgery — Thoughts and Perspectives from the UK

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1 UCLH Department of Weight Loss, Metabolic and Endocrine Surgery, University College London Hospital, 235 Euston Road, London NW1 2BU, UK 2 North Bristol NHS Trust, Beckspool Road, Frenchay, Bristol BS16 1JE, UK 3 St Anthony's Hospital, 801 London Road, North Cheam, Surrey SM3 9DW, UK 4 Barts and the London Children's hospital, The Royal London Hospital, Whitechapel, London E1 1BB, UK
* Author to whom correspondence should be addressed.
Received: 10 September 2013 / Revised: 2 December 2013 / Accepted: 13 December 2013 / Published: 31 December 2013
(This article belongs to the Special Issue Economics of the Prevention and Treatment of Obesity)
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Abstract

Opinions of healthcare professionals in the United Kingdom regarding bariatric surgery in adolescents are largely unknown. This study aims to explore the perspectives of medical professionals regarding adolescent bariatric surgery. Members of the British Obesity and Metabolic Surgery Society and groups of primary care practitioners based in London were contacted by electronic mail and invited to complete an anonymous online survey consisting of 21 questions. Ninety-four out of 324 questionnaires were completed. 66% of professionals felt that adolescents with a body mass index (BMI) >40 or BMI >35 with significant co-morbidities can be offered surgery. Amongst pre-requisites, parental psychological counseling was chosen most frequently. 58% stated 12 months as an appropriate period for weight management programs, with 24% regarding 6 months as sufficient. Most participants believed bariatric surgery should only be offered ≥16 years of age. However, 17% of bariatric surgeons marked no minimum age limit. Over 80% of the healthcare professionals surveyed consider bariatric surgery in adolescents to be acceptable practice. Most healthcare professionals surveyed feel that adolescent bariatric surgery is an acceptable therapeutic option for adolescent obesity. These views can guide towards a consensus opinion and further development of selection criteria and care pathways.
Keywords: adolescent obesity; bariatric surgery; opinions; healthcare professionals adolescent obesity; bariatric surgery; opinions; healthcare professionals
This is an open access article distributed under the Creative Commons Attribution License which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

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Penna, M.; Markar, S.; Hewes, J.; Fiennes, A.; Jones, N.; Hashemi, M. Adolescent Bariatric Surgery — Thoughts and Perspectives from the UK. Int. J. Environ. Res. Public Health 2014, 11, 573-582.

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Int. J. Environ. Res. Public Health EISSN 1660-4601 Published by MDPI AG, Basel, Switzerland RSS E-Mail Table of Contents Alert