Laparoscopic roux-en-Y gastric bypass versus sleeve gastrectomy for teenagers with severe obesity - TEEN-BEST: study protocol of a multicenter randomized controlled trial

Bonouvrie, Daniëlle S.; Beamish, Andrew J.; Leclercq, Wouter K G; Mil, E.G.A.H. van; Luijten, Arijan A. P. M.; Hazebroek, Eric J.; Vreugdenhil, Anita; Olbers, Torsten; Dielen, François M. H. van

doi:10.1186/s12893-020-00778-9

Cited by 6 publications

(1 citation statement)

References 27 publications

(36 reference statements)

Supporting

Mentioning

Contrasting

Order By: Relevance

“…With the goal of further investigating the efficacy and feasibility of bariatric surgery in youth, our aim was to explore the current attitudes of Dutch pediatricians towards these topics [24]. A secondary aim was to discover the thoughts and beliefs of Dutch parents and adolescents regarding bariatric surgery in youth.…”

Section: Introductionmentioning

confidence: 99%

Bariatric Surgery in Youth: the Perspective of Dutch Pediatricians, Parents, and Adolescents

et al. 2021

Self Cite

View full text Add to dashboard Cite

Background Recent studies have indicated that bariatric surgery is effective for the treatment of youth with severe obesity. The attitudes of pediatricians, parents, and adolescents regarding this topic remain unclear. Therefore, the aim of this study was to assess the current thoughts and beliefs of Dutch pediatricians, parents, and adolescents regarding bariatric surgery in youth. Methods An online survey containing twenty questions on bariatric surgery in youth was distributed to pediatricians of the Dutch Society of Pediatrics. Parents and adolescents who participated in an interdisciplinary care program for overweight, obesity, and severe obesity filled out an online survey of twelve questions. Results One hundred and twenty-one pediatricians, 49 parents, and 19 adolescents completed the surveys. Seventy-two pediatricians (59.5%) considered bariatric surgery to be an effective treatment for youth with severe obesity when conventional treatment fails, and intend to refer patients for bariatric surgery. The most frequently suggested conditions for bariatric surgery were a minimum age of 16 years (n = 59, 48.7%), a BMI threshold of 40 kg/m2 (n = 51, 42.2%), and a minimum Tanner stage of IV (n = 59, 48.8%). Thirty parents (61.2%) and fourteen adolescents (73.7%) responded that bariatric surgery should become available for youth with severe obesity. Conclusion Dutch pediatricians, parents, and adolescents increasingly accept bariatric surgery as a treatment modality in youth with severe obesity who do not respond successfully to lifestyle intervention. Whether pediatricians will actually refer youth for bariatric surgery remains to be seen when this treatment option will be implemented in the Netherlands. Graphical abstract

show abstract

Section: Introductionmentioning

confidence: 99%

Bariatric Surgery in Youth: the Perspective of Dutch Pediatricians, Parents, and Adolescents

et al. 2021

Self Cite

View full text Add to dashboard Cite

show abstract

Invited Commentary: Outcomes 10 to 18 Years after Bariatric Surgery as an Adolescent

Ghanem

2022

Journal of the American College of Surgeons

View full text Add to dashboard Cite

Development of a Clinical Pathway for Bariatric Surgery as an Integral Part of a Comprehensive Treatment for Adolescents with Severe Obesity in the Netherlands

van de Pas,

Vreugdenhil,

Janssen

et al. 2024

Obes Facts

View full text Add to dashboard Cite

Introduction In the Netherlands, bariatric surgery in adolescents is currently only allowed in the context of scientific research. Besides this, there was no clinical pathway for bariatric surgery in adolescents. In this paper, the development of a comprehensive clinical pathway for bariatric surgery in adolescents with severe obesity in the is described. Methods The clinical pathway for bariatric surgery in adolescents consists of an eligibility assessment as well as comprehensive peri- and postoperative care. Regarding the eligibility assessment, the adolescents need to be identified by their attending pediatricians and afterwards be evaluated by specialized pediatric obesity units. If the provided treatment is considered to be insufficiently effective, the adolescent will anonymously be evaluated by a national board. This is an additional diligence procedure specifically established for bariatric surgery in adolescents. The national board consists of independent experts regarding adolescent bariatric surgery, and evaluates whether the adolescents meet the criteria defined by the national professional associations. The final step is an assessment by a multidisciplinary team for adolescent bariatric surgery. The various disciplines (pediatrician, bariatric surgeon, psychologist, dietician) evaluate whether an adolescent is eligible for bariatric surgery. In this decision-making process, it is crucial to assess whether the adolescent is expected to adhere to postoperative behavioral changes and follow-up. When an adolescent is deemed eligible for bariatric surgery, he or she will receive preoperative counselling by a bariatric surgeon to decide on the type of bariatric procedure (Roux-en-Y gastric bypass or sleeve gastrectomy). Postoperative care consists of intensive guidance by the multidisciplinary team for adolescent bariatric surgery. In this guidance, several regular appointments are included and additional care will be provided based on the needs of the adolescent and his or her family. Furthermore, the multidisciplinary lifestyle intervention, in which the adolescents participated before bariatric surgery, continues in coordination with the multidisciplinary team for adolescent bariatric surgery, and this ensures long-term counselling and follow-up. Conclusion The implementation of bariatric surgery as an integral part of a comprehensive treatment for adolescents with severe obesity requires the development of a clinical pathway with a variety of disciplines.

show abstract

Laparoscopic roux-en-Y gastric bypass versus sleeve gastrectomy for teenagers with severe obesity - TEEN-BEST: study protocol of a multicenter randomized controlled trial

Cited by 6 publications

References 27 publications

Bariatric Surgery in Youth: the Perspective of Dutch Pediatricians, Parents, and Adolescents

Bariatric Surgery in Youth: the Perspective of Dutch Pediatricians, Parents, and Adolescents

Invited Commentary: Outcomes 10 to 18 Years after Bariatric Surgery as an Adolescent

Development of a Clinical Pathway for Bariatric Surgery as an Integral Part of a Comprehensive Treatment for Adolescents with Severe Obesity in the Netherlands

Contact Info

Product

Resources

About