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Within gastroenterology, non\u2010alcoholic fatty liver disease (NAFLD) is now the most common cause of paediatric liver disease and the most common cause of liver transplantation in young adults. Treatment for NAFLD largely focuses on treatment of obesity with weight loss strategies. Unfortunately, the traditional method of weight loss using multicomponent lifestyle modification (dietary changes, increased exercise and behavioural modification) has often led to disappointing results. In adult patients with obesity, treatment strategies have evolved to include bariatric surgery and, more recently, bariatric endoscopy. In paediatrics, the obesity and NAFLD epidemics will likely require this variety of treatment to address children in a personalized manner. Here, we present a review of paediatric obesity, paediatric NAFLD and the various treatment strategies to date. We focus on non\u2010pharmacologic and emerging therapies, including bariatric surgery and bariatric endoscopy\u2010based treatments. With such a large population of children and adolescents with obesity, further development of these treatments, including paediatric\u2010focused clinical trials, is essential for these emerging modalities.<\/jats:p>","DOI":"10.1111\/ijpo.13067","type":"journal-article","created":{"date-parts":[[2023,8,22]],"date-time":"2023-08-22T03:26:25Z","timestamp":1692674785000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":15,"title":["Review of paediatric obesity and non\u2010alcoholic fatty liver disease\u2014A focus on emerging non\u2010pharmacologic treatment strategies"],"prefix":"10.1111","volume":"18","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-8457-1297","authenticated-orcid":false,"given":"Travis L.","family":"Piester","sequence":"first","affiliation":[{"name":"Department of Pediatrics, Division of Gastroenterology Seattle Children's Hospital  Seattle Washington USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nitin","family":"Jagtap","sequence":"additional","affiliation":[{"name":"Department of Medical Gastroenterology and Hepatology Asian Institute of Gastroenterology  Hyderabad India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Rakesh","family":"Kalapala","sequence":"additional","affiliation":[{"name":"Department of Medical Gastroenterology and Hepatology Asian Institute of Gastroenterology  Hyderabad India"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2023,8,21]]},"reference":[{"key":"e_1_2_7_2_1","doi-asserted-by":"publisher","DOI":"10.1161\/CIR.0B013E3182A5CFB3"},{"key":"e_1_2_7_3_1","unstructured":"FryarCD CarrollMD OgdenCL.Prevalence of overweight obesity and severe obesity among children and adolescents aged 2\u201319\u2009years: United States 1963\u20131965 through 2015\u20132016. 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