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Chirurgie bariatrique : enjeux et limites chez l’adolescent obèse

Bariatric surgery: major issues and limits in obese adolescent

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Obésité

Résumé

L’augmentation des formes extrêmes d’obésité chez l’adolescent et les résultats décevants des prises en charge classiques amènent actuellement les pédiatres à envisager la chirurgie bariatrique comme option thérapeutique. La prudence est cependant de mise en raison des particularités de cette tranche d’âge. De plus, le type de chirurgie (anneau gastrique ou sleeve gastrectomie ou bypass) reste toujours largement discuté même si le bypass et la sleeve gastrectomie doivent probablement être privilégiés.

Abstract

Due to the increased frequency of extreme obesity in adolescents and the inefficiency of usual treatments, bariatric surgery is now largely discussed as novel therapeutic option. However, it is important to be cautious due the specificity of this age. In addition, until now, the type of surgery (adjustable gastric banding, sleeve gastrectomy or Roux-en-Y gastric bypass) is still largely discussed even if Roux-en-Y gastric bypass should be the better option due to its higher efficacy.

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  1. Nutrition et gastroentérologie pédiatriques, hôpital Armand Trousseau, 26, avenue du Dr Arnold Netter, 75012, Paris, France

    B. Dubern

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  1. B. Dubern
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Correspondence to B. Dubern.

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Dubern, B. Chirurgie bariatrique : enjeux et limites chez l’adolescent obèse. Obes 9, 3–7 (2014). https://doi.org/10.1007/s11690-013-0398-1

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