Abstract

Despite serious health risks associated with obesity and research supporting the safety, durability, and effectiveness of metabolic and bariatric surgery (MBS) in pediatric patients, utilization is low. In this issue, Herdes et al. [1] contended that 3 main arguments against pediatric MBS (i.e., risk of long-term complications, inadequate decision-making capacity, and risk of impaired growth related to malabsorption) are without merit based upon extant research. The authors provided an excellent synthesis of the literature, which suggested no differences in rates of complications, weight loss, and follow-up rates between adolescents and adults.

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