Clinical Guidelines
Nutritional Strategy for Adolescents Undergoing Bariatric Surgery
Report of a Working Group of the Nutrition Committee of NASPGHAN/NACHRI
Correction(s) for this article
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Nutritional Strategy for Adolescents Undergoing Bariatric Surgery
- Volume 54Issue 4Journal of Pediatric Gastroenterology and Nutrition
- pages: 571-571
- First Published online: April 1, 2012
Michell A. Fullmer,
Stephanie H. Abrams,
Kathleen Hrovat,
Lori Mooney,
Ann O. Scheimann,
Jennifer B. Hillman,
David L. Suskind,
Michell A. Fullmer
A.I. Dupont Children's Hospital, Wilmington, DE
Search for more papers by this authorJennifer B. Hillman
Cincinnati Children's Hospital, Cincinnati, OH
Search for more papers by this authorCorresponding Author
David L. Suskind
Seattle Children's Hospital, University of Washington, Seattle, WA
Address correspondence and reprint requests to David Suskind, MD (e-mail: [email protected]).Search for more papers by this author
Michell A. Fullmer,
Stephanie H. Abrams,
Kathleen Hrovat,
Lori Mooney,
Ann O. Scheimann,
Jennifer B. Hillman,
David L. Suskind,
Michell A. Fullmer
A.I. Dupont Children's Hospital, Wilmington, DE
Search for more papers by this authorJennifer B. Hillman
Cincinnati Children's Hospital, Cincinnati, OH
Search for more papers by this authorCorresponding Author
David L. Suskind
Seattle Children's Hospital, University of Washington, Seattle, WA
Address correspondence and reprint requests to David Suskind, MD (e-mail: [email protected]).Search for more papers by this authorThe authors report no conflict of interests.
ABSTRACT
Surgical options for the treatment of adolescent obesity have been gaining popularity. Adolescent patients present a particular challenge to clinicians, secondary to age-related issues, revolving around both mental and physical growth. These age-related issues require a unique approach to nutritional intervention for adolescents undergoing bariatric surgery as opposed to standardized approaches for adults. Despite the increasing numbers of adolescents undergoing obesity surgery, evidence-based nutritional guidelines have yet to be published. The goal of this document is to provide the clinician with recommendations on how to assess, educate, nourish, and monitor the adolescent who has undergone obesity surgery. A multidisciplinary panel composed of 3 pediatric gastroenterologists, 1 psychologist, and 3 registered dietitians from the Nutrition Committee for the North American Society of Pediatric Gastroenterology, Hepatology, and Nutrition and National Association of Children's Hospitals and Related Institutions, with experience in nutrition and adolescent weight loss surgery, reviewed the medical literature for evidence-based practice for nutritional strategies for patients undergoing bariatric surgery. In addition to this group, an adolescent medicine physician was consulted for matters related to reproductive health. The present article presents a consensus of recommendations based on a review of the literature. In areas for which there was a lack of evidence to support the recommendations, best-practice guidelines were used. The present article provides the clinician with an overview of the nutritional concerns for adolescent patients undergoing obesity surgery. These guidelines address the preoperative educational pathway, the postoperative diet progression, recognition of disordered eating, guidelines for female reproductive issues, and assistance for the adolescent in a school/college environment.
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