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Janey Pratt, MD FASMBS
Chair


Bradley Linden, MD FASMBS
Co-Chair


Ann Rogers, MD FASMBS


Members

Marwa Abu El Haija, MBBS
Jeremy Aidlen, MD FAAP
Allen Browne, MD 
Nancy Browne, MS PPCNP-BC FAANP CBN
Matias Bruzoni, MD
Judy Chen, MD FASMBS
Joy Collins, MD 
Anita Courcoulas, MD MPH  

Robert Cywes, MD PhD 
Daniel DeUgarte, MD 
Thomas Inge, MD PhD  
Lori Lynch, MSN APRN CPNP
Marc Michalsky, MD FASMBS
Ann O’Connor, MD
David Podkameni, MD FASMBS

Kirk Reichard, MD, Immediate Past Chair
Niti Shahi, MD
Kimberly Steele, MD PhD FASMBS
Nancy Thompson, MS RN CPNP CBN
Mark Wulkan, MD 
Jeffrey Zitsman, MD

Ad Hoc Member

Jennifer Savage Williams, PhD, TOS

ASMBS Staff Liaison

Leslie Vinson

Description

The mission of the Pediatric Surgery Committee is to develop, foster and promote best care practices and resources for the pediatric/adolescent bariatric surgery patient. The Pediatric Committee has continued to carry out its strategic mission in response to the increasing prevalence of severe obesity within the adolescent population and associated rise in the number of weight loss surgeries being performed as a result of this public health crisis.  Since its inception in 2007, the committee has quickly developed into an authoritative resource focused on all aspects of bariatric care for an emerging population. As such, the committee membership consists of a blend of pediatric and adult bariatric surgeons with representation from the behavioral and integrated health community.

Mission

  • To improve the care and treatment of people suffering from obesity
  • To advocate the science and understanding of metabolic and bariatric surgery
  • To foster communication between health professionals on obesity and related conditions
  • To be the recognized authority and resource on metabolic and baric surgery
  • To advocate for the health care policy that ensures patient access to high quality prevention and treatment of obesity
  • To be a highly valued specialty society that serves the educational professional needs of its diverse membership

Objectives

  • Provide leadership on pediatric/adolescent bariatric surgery
  • Expand membership (adult surgeons, nursing, behavior sciences, etc.)
  • Develop and maintain resources for existing / developing centers that provide care for adolescent patients
  • Develop and maintain web content for Professionals (Public information to be coordinated with Public Education)
  • Collaborate with Access to Care Committee for pediatric/adolescent
    bariatric surgery issues

Committee Goals

Short-Term

1) Update the committee’s position statement
2) Develop relationship with the TOS pediatric committee

Mid-Term

1) Create a Resource Toolkit to assist with developing a pediatric program
2) Complete MBSAQIP pediatric outcomes review paper as a committee

Long-Term

1) Prepare content for ObesityWeek 2020
2) Update ASMBS website on adolescent bariatric surgery

Specific Projects that Achieve Goals and Objectives:

Short-Term:
1) The committee will vote on the position statement at their meeting at ObesityWeek 2019
2) Asked the TOS Pediatric Committee Chair to join our committee

Mid-Term:
1) Development of an easy to locate repository of bariatric handouts and resources for pediatric patients containing nutrition handbooks, consent/assent forms, templates, protocols for surgery, anesthesia, preop evaluation, etc.
2) Ongoing collaboration with MBSAQIP committee to refine pediatric standards

Long-Term:
1) Will discuss in the beginning of 2020 as a committee

2019 Completed Projects

1) Pediatric tag for searching sessions in 2019 ObesityWeek – includes joint and ASMBS sessions
2) Joint session with TOS at ObesityWeek: “Global Obesity Treatment in Children” – 3 CME hours
3) Anticipated publication of AAP statement on MBS in pediatric population
4) TOS pediatric committee chair invited to ASMBS committee meeting
5) Publications in pediatrician-oriented journals; ASMBS Pediatric Surgery Committee member publications in non-surgical journals this year:

  1. Colman RJ, Woo Baidal, JA, Zitsman JL, Mencin AA. Upper GI Endoscopy in Adolescents with Severe Obesity Prior to Vertical Sleeve Gastrectomy. J Pediatr Gastroenterol Nutr, 2019;69: 287-291.
  2. Chin VL, Censani, M, Conroy R, Lerner S, Oberfield S, McMahon D, Zitsman J, Fennoy I.
  3. Gonadal Dysfunction in Morbidly Obese Adolescent Boys. J Pediatr Endrocrinol Metab 2018; 31: 1191-1197.
  4. Michalsky MP, Inge TH, Jenkins TM, Xie C., Courcoulas A., Helmrath M, Brandt ML., Harmon CM.,Chen M., Dixon JB., UrbinaEM., for the Teen-LABS Consortium. Cardiovascular Risk Factors After Adolescent Bariatric Surgery. Pediatrics. 2018 Feb;141(2). pii: e20172485. doi: 10.1542/peds.2017-2485. Epub 2018 Jan 8.
  5. Toh S, Rasmussen-Torvik LJ, Harmata EE, Pardee R, Saizan R, Malanga E, Sturtevant JL, Horgan CE, Anau J, Janning CD, Wellman RD, Coley RY, Cook AJ, Courcoulas AP, Coleman KJ, Williams NA, McTigue KM, Arterburn D, McClay J. The National Patient-Centered Clinical Research Network (PCORnet) Bariatric Study Cohort: Rationale, Methods, and Baseline Characteristics. JMIR research protocols. 2017; 6(12):e222.PMID:29208590
  6. Heymsfield S., Aronne L., Eneli, I., Kumar R.B., Michalsky M.P., Walker E., Wolfe B.M., Woolford S.J., and Yanovski S. 2018. Clinical perspectives on obesity treatment: Challenges, gaps, and promising opportunities. NAM Perspectives. Discussion Paper, National Academy of Medicine, Washington, DC. doi: 10.31478/201809b
  7. Arterburn D, Wellman R, Emiliano A, Smith S, Odegaard A, Murali S, Williams N, Coleman K, Courcoulas A, Coley R, Anau J, Pardee R, Toh S, Janning C, Cook A, Sturtevant S, Horgan C, McTigue K, PCORnet Bariatric Study Collaborative* Comparative Effectiveness of Bariatric Procedures for Weight Loss and Safety: A PCORnet Cohort Study. Ann Intern Med. 2018 Dec 4;169(11):741-750. [Epub ahead of print] doiL10.7326/M17-2786
  8. Hakim M., Anderson BJ., Walia H., Tumin D., Michalsky M.P., Syed A., Tobias J.D., Acetaminophen Pharmacokinetics in Severely Obese Adolescents Undergoing Bariatric Surgery. Paediatr Anaesth. 2019 Jan;29(1):20-26. doi: 10.1111/pan.13525. Epub 2018 Nov 28.
  9. Srivastava G., Fox C., Kelly A., Jastreboff, A., Browne A., Browne N., Pratt J., Bolling, C., Michalsky M., Cook S., Lenders C. Aprovian C. Clinical Considerations Regarding the Responsible Use of Obesity Pharmacotherapy in Adolescents with Obesity. Obesity (Silver Spring). 2019 Feb;27(2):190-204. doi: 10.1002/oby.22385
  10. Michalsky, M.P. Intellectual Disability and Adolescent Bariatric Surgery; Support for Special Eligibility Criteria. Pediatrics. 2019 May;143(5). pii: e20184112. doi: 10. 1542/peds.2018-4112. Epub 2019 Apr 15.
  11. Inge TH, Courcoulas AP, Jenkins TM, Michalsky MP, Brandt ML, Xanthakos SA, Dixon JB, Harmon CM, Chen MK, Xie C, Evans ME, Helmrath MA; Teen–LABS Consortium. Five-Year Outcomes of Gastric Bypass in Adolescents as Compared with Adults. N Engl J Med. 2019 May 16. doi: 10.1056/NEJMoa1813909. [Epub ahead of print]
  12. Toth AT, Gomez G, Shukla AP, Pratt JS, Cena H, Biino G, Aronne LJ, Stanford FC. Children (Basel). Weight Loss Medications in Young Adults after Bariatric Surgery for Weight Regain or Inadequate Weight Loss: A Multi-Center Study. Children (Basel). 2018 Aug 29;5(9). PMID: 3015848
  13. Griggs CL, Perez NP Jr, Goldstone RN, Kelleher CM, Chang DC, Stanford FC, Pratt JS. National Trends in the Use of Metabolic and Bariatric Surgery Among Pediatric Patients With Severe Obesity. JAMA Pediatr. 2018 Dec 1;172(12):1191-1192. PMID: 30357351
  14. Srivastava G, Fox CK, Kelly AS, Jastreboff AM, Browne AF, Browne NT, Pratt JSA, Bolling C, Michalsky MP, Cook S, Lenders CM, Apovian CM.Clinical Considerations Regarding the Use of Obesity Pharmacotherapy in Adolescents with Obesity.Obesity (Silver Spring). 2019 Feb;27(2):190-204. Review.
  15. Zeller, M.H., Robson, S., Reiter-Purtill, J., Kidwell, K.M., Kharofa, R., McCullough, M.B., Crosby, L., Howarth, T., Comstock, S., Ley, S.L., Courcoulas, A., & West-Smith, L. (2019) Halo or horn? Mother’s experiences with feeding children during the first year following bariatric surgery. Appetite. 142:104366; July 10. doi.org/10.1016/j.appet.2019.104366 [Epub ahead of print]. https://www.ncbi.nlm.nih.gov/pubmed/31301320
  16. Reiter-Purtill, J., Hunsaker S.L. Kidwell, K.M., Mikhail, C. Austin, H., Chaves, E., Rofey, D., Jenkins, T.M., Inge, T.H., and Zeller, M.H. in cooperation with the TeenView Study Group and Teen-LABS Consortium. (2019) Change, predictors and correlates of weight- and health-related quality of life in adolescents 2-years following bariatric surgery. Int J Obes. 2019 Jun 17. doi: 10.1038/s41366-019-0394-0. [Epub ahead of print] PMID:31209270 https://www.ncbi.nlm.nih.gov/pubmed/31209270
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