Surgical Procedures of Morbid Obesity

Zinat Salem; Mahmood Sheikh-Fathollahi

Zahedan Journal of Research in Medical Sciences

The Official Journal of Zahedan University of Medical Sciences

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Surgical Procedures of Morbid Obesity

Author(s):

Zinat Salem^1,*,

Mahmood Sheikh-Fathollahi²

1Department of Social Medicine, Faculty of Medicine, Occupational and Environmental Health Center, Rafsanjan University of Medical Sciences, Rafsanjan, Iran

2Department of Social Medicine, Faculty of Medicine, Rafsanjan University of Medical Sciences, Rafsanjan, Iran

Zahedan Journal of Research in Medical Sciences:Vol. 15, issue 2; e93081

Published online:Oct 28, 2012

Article type:Review Article

Received:Feb 09, 2012

Accepted:Feb 15, 2012

How to Cite:Zinat SalemMahmood Sheikh-FathollahiSurgical Procedures of Morbid Obesity.Zahedan J Res Med Sci.15(2):e93081.

Abstract

Background : Surgical intervention has been recently advocated in the treatment of morbid obesity. The objective of this study was to review surgery as an alternative in the treatment of morbidly obese adolescents.
Materials and Methods : This research was conducted by searching English websites such as PubMed, Up to Date, and Google Scholar, as well as some Persian websites including SID, Iranmedex, and Magiran. Articles published from 2000 to 2010 on interventional and clinical trials were reviewed for treatment of morbid obesity in adolescents. Keywords used in internet searches include obesity adolescence and surgery.
Results : The results obtained from the studies indicated that 4% of American adolescents suffer from morbid obesity. So far, pharmacological treatment and other approaches toward this type of obesity have been inefficient. Hence, surgery was employed as one of the new approaches to the treatment of this disorder. According to the National Health Institute criteria, in the treatment of adolescent candidates for surgery, anthropometric measurements are performed together with the measurement of other co-morbidities of obesity. Adolescents whose percentiles are ≥99 are considered as morbidly obese patients.
Conclusion : The results of the studies suggested that for the extremely obese adolescents, who do not respond to other types of medical interventions within 6 months, surgery can be performed. Adolescents with BMI of ≥40 kg/m2 and skeletal maturity, or those with co morbidities of obesity, or 13-year-old girls and boys ≥15 years of age can be candidates for surgery. However, the side effects of obesity should not be neglected. Therefore, before the adolescent obesity become morbid obesity, preventive measures should be taken through changes in lifestyle.

Keywords

Morbid Obesity

Adolescence

Surgery

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