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Ethics of Bariatric Surgery in Adolescence and Its Implications for Clinical Practice

Author

Listed:
  • Valentina Martinelli

    (Department of Brain and Behavioral Sciences, University of Pavia, 27100 Pavia, Italy)

  • Simran Singh

    (Medway Hospital, Windmill Rd, Gillingham ME7 5NY, UK)

  • Pierluigi Politi

    (Department of Brain and Behavioral Sciences, University of Pavia, 27100 Pavia, Italy)

  • Riccardo Caccialanza

    (Clinical Nutrition and Dietetics Unit, IRCCS Policlinico San Matteo Foundation, 27100 Pavia, Italy)

  • Andrea Peri

    (Department of Surgery, IRCCS Policlinico San Matteo Foundation, 27100 Pavia, Italy)

  • Andrea Pietrabissa

    (Department of Surgery, IRCCS Policlinico San Matteo Foundation, 27100 Pavia, Italy
    Department of Surgery, University of Pavia, 27100 Pavia, Italy)

  • Matteo Chiappedi

    (Vigevano Child Neurology and Psychiatry Unit, ASST Pavia, 27100 Pavia, Italy)

Abstract

Obesity is increasingly prevalent among adolescents. Clinical and research data support the use of bariatric surgery (BS) as a treatment option for severely obese adolescents, with good results in terms of weight loss, improvement or resolution of comorbidities, and compliance to follow up. Nevertheless, concerns still remain, with significant disparities among countries and ethical concerns mainly raised by performing an irreversible and invasive procedure in adolescence, with potential life-long alterations. In this context, the purpose of this narrative review was to discuss the main current ethical challenges in performing BS in adolescence and to inform appropriate clinical management in the field. The core ethical principles of autonomy, beneficence, nonmaleficence, and justice were revised in terms of patient-centered healthcare through the lens of psychosocial implications. The review concludes with a discussion regarding the potential directives for future research for effective, patient-centered, and ethical management of obesity in the adolescent population.

Suggested Citation

  • Valentina Martinelli & Simran Singh & Pierluigi Politi & Riccardo Caccialanza & Andrea Peri & Andrea Pietrabissa & Matteo Chiappedi, 2023. "Ethics of Bariatric Surgery in Adolescence and Its Implications for Clinical Practice," IJERPH, MDPI, vol. 20(2), pages 1-11, January.
    • Handle: RePEc:gam:jijerp:v:20:y:2023:i:2:p:1232-:d:1030777
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    References listed on IDEAS

    as
    1. Jaime Moore & Matthew Haemer & Nazrat Mirza & Ying Z Weatherall & Joan Han & Caren Mangarelli & Mary Jane Hawkins & Stavra Xanthakos & Robert Siegel, 2019. "Pilot Testing of a Patient Decision Aid for Adolescents with Severe Obesity in US Pediatric Weight Management Programs within the COMPASS Network," IJERPH, MDPI, vol. 16(10), pages 1-12, May.
    2. Giusy La Fauci & Marco Montalti & Zeno Di Valerio & Davide Gori & Maria Giulia Salomoni & Aurelia Salussolia & Giorgia Soldà & Federica Guaraldi, 2022. "Obesity and COVID-19 in Children and Adolescents: Reciprocal Detrimental Influence—Systematic Literature Review and Meta-Analysis," IJERPH, MDPI, vol. 19(13), pages 1-15, June.
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