Bioethical analysis of indicating bariatric surgery for children and adolescents

Abstract

Bariatric surgery is becoming more and more established as an effective form of weight loss and method of treating co-morbidities related to this condition. The short and long-term risks and benefits for adults have been well documented in the literature, but no accurate data exists for children and adolescents. Given the significant changes in lifestyle habits and diet involved, the decision to undergo surgical treatment is a delicate one, requiring the participation of the entire medical team and the patient’s family. For this reason, the doctor in charge must be aware of the major bioethical aspects involved, and the steps required to effectively manage cases where bariatric surgery is the preferred option.