Children with intellectual and developmental delays are 1.5 to 2 times more likely to have obesity due to medications, behavioral issues, and dietary issues.
Bariatric surgery fits in the category of low-risk, high-reward procedures based on data showing procedures are safe in children with excellent outcomes.
Manish Raiji, MD - 2024 Pediatric Bariatric Surgery Update Course
▶Ep 22 · 0:36
quoteI guess the question is, how do we take care of kids with ethics in mind?↗
▶Ep 22 · 1:30
quoteIn, in our instance, it's obesity, that's running towards, uh, a track, and there are innocent victims on this track.↗
▶Ep 22 · 2:30
quoteWe're not just pushing a switch, we're pushing a person over the, uh, an overpass in hopes of derailing the train.↗
▶Ep 22 · 4:00
clinicalIn adult patient-physician relationships, the patient and physician are at the central portion of the relationship, but in pediatrics the parents and entire family unit must be included.↗
▶Ep 22 · 5:00
clinicalA 17-year-old cancer patient has a lot of influence on the decisions being made for her, unlike a neonate who has no autonomy.↗
▶Ep 22 · 7:00
clinicalThe medical values of children as they become adults are influenced very heavily by their parents.↗
▶Ep 22 · 8:00
clinicalBariatric surgery fits in the category of low-risk, high-reward procedures based on data showing procedures are safe in children with excellent outcomes.↗
▶Ep 22 · 8:00
quoteDo we think of children as simply incapacitated adults?↗
▶Ep 22 · 8:00
clinicalIncapacitated adults often have a lifetime of behavior upon which surrogate decision makers can base perceived values, but none of that exists for a child.↗
▶Ep 22 · 9:00
epidemiologicalChildren on Medicare and Medicaid are up to 2 times more likely to suffer from obesity, but comprise just over a third of patients obtaining bariatric services.↗
▶Ep 22 · 9:30
epidemiologicalThere is a large mismatch between the number of bariatric centers per state versus the prevalence of obesity in those states.↗
▶Ep 22 · 9:50
guidelineChildren as young as 7 or 8 years of age require assent, especially for invasive procedures.↗
▶Ep 22 · 10:05
guidelineMost guidelines suggest no age limits for the performance of bariatric surgery.↗
▶Ep 22 · 10:15
quoteHow do we answer the questions of how we utilize this service, um, and this therapy for, for patients in a way that's equitable.↗
▶Ep 22 · 10:15
epidemiologicalChildren with intellectual and developmental delays are 1.5 to 2 times more likely to have obesity due to medications, behavioral issues, and dietary issues.↗
▶Ep 22 · 10:52
opinionBariatric surgery should be thought of as a very effective strategy and more as a primary intervention rather than an endpoint to a spectrum of failed other options.↗
▶Ep 22 · 10:52
quoteI think of it as a very effective strategy that ought to be thought of more, more as a primary.↗
Manish's statements about Sleep Apnea17 statements
Manish Raiji, MD - 2024 Pediatric Bariatric Surgery Update Course
▶Ep 1 · 0:36
quoteI guess the question is, how do we take care of kids with ethics in mind?↗
▶Ep 1 · 1:30
quoteIn, in our instance, it's obesity, that's running towards, uh, a track, and there are innocent victims on this track.↗
▶Ep 1 · 2:30
quoteWe're not just pushing a switch, we're pushing a person over the, uh, an overpass in hopes of derailing the train.↗
▶Ep 1 · 4:00
clinicalIn adult patient-physician relationships, the patient and physician are at the central portion of the relationship, but in pediatrics the parents and entire family unit must be included.↗
▶Ep 1 · 5:00
clinicalA 17-year-old cancer patient has a lot of influence on the decisions being made for her, unlike a neonate who has no autonomy.↗
▶Ep 1 · 7:00
clinicalThe medical values of children as they become adults are influenced very heavily by their parents.↗
▶Ep 1 · 8:00
clinicalBariatric surgery fits in the category of low-risk, high-reward procedures based on data showing procedures are safe in children with excellent outcomes.↗
▶Ep 1 · 8:00
quoteDo we think of children as simply incapacitated adults?↗
▶Ep 1 · 8:00
clinicalIncapacitated adults often have a lifetime of behavior upon which surrogate decision makers can base perceived values, but none of that exists for a child.↗
▶Ep 1 · 9:00
epidemiologicalChildren on Medicare and Medicaid are up to 2 times more likely to suffer from obesity, but comprise just over a third of patients obtaining bariatric services.↗
▶Ep 1 · 9:30
epidemiologicalThere is a large mismatch between the number of bariatric centers per state versus the prevalence of obesity in those states.↗
▶Ep 1 · 9:50
guidelineChildren as young as 7 or 8 years of age require assent, especially for invasive procedures.↗
▶Ep 1 · 10:05
guidelineMost guidelines suggest no age limits for the performance of bariatric surgery.↗
▶Ep 1 · 10:15
quoteHow do we answer the questions of how we utilize this service, um, and this therapy for, for patients in a way that's equitable.↗
▶Ep 1 · 10:15
epidemiologicalChildren with intellectual and developmental delays are 1.5 to 2 times more likely to have obesity due to medications, behavioral issues, and dietary issues.↗
▶Ep 1 · 10:52
opinionBariatric surgery should be thought of as a very effective strategy and more as a primary intervention rather than an endpoint to a spectrum of failed other options.↗
▶Ep 1 · 10:52
quoteI think of it as a very effective strategy that ought to be thought of more, more as a primary.↗
