Surgical procedures in children with obesity have increased by 25%, and severe obesity raises perioperative complication risk, necessitating individualized, multidisciplinary care.
What are the current evidence and recommendations for the perioperative management of children with overweight and obesity?
Children with overweight and obesity requiring surgical procedures
Perioperative management including diagnostic assessment, preoperative preparation, intraoperative and postoperative care, and drug dosing adjustments
Individualized perioperative care and a multidisciplinary approach are essential to minimize surgical risks in children with obesity.
• Childhood obesity has tripled in the last 30 years, it is a public health concern. • Surgical procedures in children living with obesity have increased by 25%. • Individualized risk assessment and comorbidities are essential before surgery. • Drug dosing must be tailored to obesity-related pharmacokinetic changes. • Severe obesity has a higher complication rate, demanding multidisciplinary team. Childhood obesity is a complex chronic disease characterized by the pathological accumulation of adipose tissue, which has direct and deleterious effects on the structure and function of multiple organs and systems. Its increasingly high global prevalence has become a major public health concern particularly in regions such as Latin America and the Caribbean. This problem has also been associated with an increasing number of children requiring surgical procedures, posing new challenges to perioperative care. A thorough preoperative evaluation and an individualized management plan are essential to minimize risks and complications in this vulnerable population, with particular attention on the identification and assessment of comorbidities. This narrative review summarizes current evidence on the perioperative management of children with overweight and obesity, addressing diagnostic assessment, preoperative preparation, intraoperative and postoperative care, and drug dosing adjustments based on obesity-related pharmacokinetic alterations. Emphasis is placed on a comprehensive, multidisciplinary approach to ensure safe and effective surgical outcomes.
Building similarity graph...
Analyzing shared references across papers
Loading...
Verónica Maureira M
Anamaría Correa B
Patricia Klahn A
Journal of Pediatric Surgery Open
University of Valparaíso
Hospital Carlos Van Buren
Building similarity graph...
Analyzing shared references across papers
Loading...
M et al. (Sat,) reported a other. Surgical procedures in children with obesity have increased by 25%, and severe obesity raises perioperative complication risk, necessitating individualized, multidisciplinary care.
www.synapsesocial.com/papers/69a76121c6e9836116a2ec44 — DOI: https://doi.org/10.1016/j.yjpso.2026.100272
Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context: