ReviewFrontiers in pediatrics2026
Impact of pediatric obesity on abdominal surgery outcome: a narrative review.
Review in Frontiers in pediatrics, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
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Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
0 citing papers in PubMed.
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Authors and funding
8 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Background: Childhood obesity has become a major global health concern and represents an increasingly relevant modifier of perioperative risk. In pediatric abdominal surgery, obesity is associated with anatomical, physiological, and immunometabolic alterations that may influence intraoperative management and postoperative outcomes. This narrative review aims to synthesize current evidence on the impact of obesity on surgical outcome in children undergoing abdominal procedures. Methods: A narrative literature review was conducted using PubMed, Scopus, and Embase, focusing on studies published in the last 15 years. Evidence was qualitatively synthesized and organized thematically, prioritizing large cohort studies and national registries. No formal risk-of-bias assessment or meta-analysis was performed. Results: Available evidence indicates that children with obesity undergoing abdominal surgery experience higher rates of perioperative respiratory adverse events, wound complications, prolonged operative times, and longer hospital stays, particularly in the presence of comorbidities such as obstructive sleep apnea syndrome (OSAS) and cardiometabolic dysfunction. The impact of obesity varies by procedure, with heterogeneous outcomes reported across appendectomy, colorectal surgery, and other abdominal interventions. Multidisciplinary perioperative strategies, including optimized airway management, multimodal opioid-sparing analgesia, respiratory physiotherapy, and thromboembolic prophylaxis, are associated with improved outcomes. Conclusions: Obesity should be regarded as a risk amplifier rather than a contraindication to pediatric abdominal surgery. Tailored perioperative management and the adoption of obesity-adapted Enhanced Recovery After Surgery pathways may reduce complications, optimize resource utilization, and improve outcomes in this growing pediatric population.
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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.