Bariatric Surgery in Children and Adolescents with Cognitive Impairment and/or Developmental Delay: Current Knowledge and Clinical Recommendations
- 22 October 2019
- journal article
- review article
- Published by Springer Science and Business Media LLC in Obesity Surgery
- Vol. 29 (12), 4114-4126
- https://doi.org/10.1007/s11695-019-04219-2
Abstract
Bariatric surgery is an effective treatment for children and adolescents with severe obesity. However, outcomes in youth with cognitive impairments and/or developmental delays are understudied. This paper reviewed the literature on bariatric surgery within this population. Fourteen studies published from 1975 to 2019 were identified. The majority (93%) of studies included patients with genetic disorders. Most studies reported no peri-operative complications (69%) and improved health outcomes (79%), with variable weight-loss results (29.2–86.2% excess weight loss). No significant differences were reported for youth with and without cognitive impairment and/or developmental delay in two studies. Limited available data suggest bariatric surgery may promote weight loss and improve health comorbidities for youth, irrespective of cognitive or developmental functioning. Clinical recommendations for working with patients and families are included.Keywords
Funding Information
- National Institute of Mental Health (5K23 MH10679404)
This publication has 85 references indexed in Scilit:
- Effects of a combined intervention for treating severely obese prepubertal childrenJournal of Pediatric Endocrinology and Metabolism, 2012
- Dyslipidemia and Pediatric ObesityPediatric Clinics of North America, 2011
- A Pilot Study to Improve Venipuncture Compliance in Children and Adolescents with Autism Spectrum DisordersJournal of Developmental & Behavioral Pediatrics, 2011
- Long-term impact of overweight and obesity in childhood and adolescence on morbidity and premature mortality in adulthood: systematic reviewInternational Journal of Obesity, 2010
- Behavioral intervention to increase compliance with electroencephalographic procedures in children with developmental disabilitiesEpilepsy & Behavior, 2008
- Are you ready to give care to a child with autism?Nursing2021, 2007
- Family-based obesity treatment, then and now: Twenty-five years of pediatric obesity treatment.Health Psychology, 2007
- Orthopedic Complications of Overweight in Children and AdolescentsPEDIATRICS, 2006
- The Fears, Phobias and Anxieties of Children with Autism Spectrum Disorders and Down Syndrome: Comparisons with Developmentally and Chronologically Age Matched ChildrenChild Psychiatry and Human Development, 2005
- Gastric bypass for morbid obesity in children and adolescentsJournal of Pediatric Surgery, 1975