美國兒科學會在2019年10月底，發表了一份政策聲明。
他們綜合了對肥胖孩子進行減重手術的研究結果，認為減重手術是能夠安全有效地幫助病態肥胖孩子減重。
有效減少肥胖引起的其他疾病。

Pediatric Metabolic and Bariatric Surgery:
Evidence, Barriers, and Best Practices

Sarah C. Armstrong, 
Christopher F. Bolling, 
Marc P. Michalsky, 
Kirk W. Reichard
SECTION ON OBESITY, SECTION ON SURGERY
Pediatrics December 2019, 144 (6) e20193223; DOI: https://doi.org/10.1542/peds.2019-3223


Abstract
Severe obesity among youth is an “epidemic within an epidemic” and portends a shortened life expectancy for today’s children compared with those of their parents’ generation.
Severe obesity has outpaced less severe forms of childhood obesity in prevalence, and it disproportionately affects adolescents.

Emerging evidence has linked severe obesity to the development and progression of multiple comorbid states, including increased cardiometabolic risk resulting in end-organ damage in adulthood.
Lifestyle modification treatment has achieved moderate short-term success among young children and those with less severe forms of obesity, but no studies to date demonstrate significant and durable weight loss among youth with severe obesity.

Metabolic and bariatric surgery has emerged as an important treatment for adults with severe obesity and, more recently, has been shown to be a safe and effective strategy for groups of youth with severe obesity. However, current data suggest that youth with severe obesity may not have adequate access to metabolic and bariatric surgery, especially among underserved populations.

This report outlines the current evidence regarding adolescent bariatric surgery, provides recommendations for practitioners and policy makers, and serves as a companion to an accompanying technical report, “Metabolic and Bariatric Surgery for Pediatric Patients With Severe Obesity,” which provides details and supporting evidence.


Research paper link:
https://pediatrics.aappublications.org/content/144/6/e20193223