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Overview

 


Pediatric Surgery Obesity Management


Childhood obesity has become an epidemic in the United States, posing a great health challenge to our society. Obese children and adolescents are at high risk of developing type 2 diabetes, cardiovascular disease, high blood pressure, high cholesterol, and other serious health problems.


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These children are also more likely to develop morbid obesity in adulthood. At UCSF, we take a comprehensive team approach to treating children and adolescents with obesity.


Weight Assessment and Non-Surgical Treatment


If your child is overweight or obese, the first step is to ask your pediatrician for a referral to the UCSF WATCH (Weight Assessment for Teen and Child Health) clinic. The clinic brings together doctors, nutritionists, exercise physiologists, and psychologists with expertise in diagnosing and treating childhood obesity. These experts will evaluate your child and develop a plan to manage your child's weight through nutrition education and behavior modification. Please visit the for more information.

Every effort is made to achieve weight loss non-surgically, but for a small group of children, medical, behavioral, and nutritional approaches to weight loss may not be enough. In these cases, the WATCH medical team may refer you and your child to see a pediatric surgeon to discuss surgical options. We will work together with you and the WATCH clinic team to tailor treatment to your child's individual needs. Due to the considerable lifestyle changes that surgery will bring about, your family and child must continue to commit to a strict program of healthy eating and exercise before he or she can be a candidate for surgery.


Surgical Treatment of Obesity


For children who meet the criteria for obesity surgery, the goal of surgery is to be a tool to assist in improving your child's health. It is important to understand that obesity surgery is not cosmetic surgery, nor is it an "easy way out." Surgery is a tool-not a cure-for sustained and effective long-term weight loss in children for whom other weight management strategies have failed.

We currently offer only one type of obesity surgery for children: laparoscopic gastric banding. Our team does not perform gastric bypass surgery for children due to the high risk of serious complications, the irreversible nature of the procedure, and the unknown long term consequences.




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