Does evidence support surgery for the treatment of obesity in children and adolescents?

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Abstract

EVIDENCE-BASED ANSWER

Yes. Bariatric surgery decreases body mass index (BMI) 26% to 34% and resolves diabetes mellitus in 83% to 100%, hypertension in 67% to 88%, dyslipidemia in 58% to 77%, and obstructive sleep apnea 85% to 100% of patients with those comorbidities (SOR: B, meta-analysis of cohort, case-control, and a RCT and a cohort trial). A clinically significant increase was noted in mean quality-of-life scores in patients undergoing gastric bypass at 6 to 36 months after surgery (SOR: B, meta-analysis of cohort, case-control, and a RCT and a cohort trial).

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