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Related Concept Videos

Obesity01:24

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The Body Mass Index (BMI) is a numerical value derived from a person's weight and height, used to categorize individuals into weight ranges. It is calculated using the formula: weight in kilograms divided by height in meters squared. Obesity is a health condition characterized by excessive accumulation of adipose tissue that poses health risks, often diagnosed with a BMI ≥ 30. This excess fat storage occurs when surplus dietary calories are converted into triglycerides and stored in adipocytes...
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Related Experiment Video

Updated: Jun 27, 2026

Techniques of Sleeve Gastrectomy and Modified Roux-en-Y Gastric Bypass in Mice
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Techniques of Sleeve Gastrectomy and Modified Roux-en-Y Gastric Bypass in Mice

Published on: March 20, 2017

Bariatric surgery for the severely obese adolescent.

Madelyn H Fernstrom1, Anita P Courcoulas

  • 1UPMC Weight Management Center and Department of Surgery, University of Pittsburgh School of Medicine, Pittsburgh, PA, USA. fernstrommh@upmc.edu

Aesthetic Surgery Journal
|December 17, 2008
PubMed
Summary

Bariatric surgery offers safe and lasting weight loss for severely obese adolescents when other treatments fail. Long-term, prospective studies are crucial for optimizing care and understanding potential complications.

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Area of Science:

  • Adolescent Health
  • Surgical Obesity Treatment
  • Pediatric Endocrinology

Background:

  • Severely obese adolescents increasingly seek surgical interventions due to the ineffectiveness of traditional therapies.
  • Existing research suggests bariatric surgery is safe and effective for durable weight loss in this population.
  • A need exists for more long-term, prospective studies to refine patient care strategies.

Purpose of the Study:

  • To review the current landscape of bariatric surgery for severely obese adolescents.
  • To outline the comprehensive evaluation and preparation process for adolescent bariatric surgery.
  • To discuss surgical options, postoperative care, and potential complications.

Main Methods:

  • Review of existing literature on bariatric surgery outcomes in adolescents.
  • Description of the multidisciplinary evaluation process, including psychological and medical assessments.
  • Outline of postoperative follow-up protocols and dietary management.

Main Results:

  • Roux-en-Y gastric bypass is the predominant procedure, with laparoscopic adjustable gastric banding gaining popularity.
  • Comprehensive pre-operative preparation and lifelong follow-up are essential for successful outcomes.
  • Short- and long-term complications mirror those in adult bariatric surgery.

Conclusions:

  • Bariatric surgery is a viable option for carefully selected severely obese adolescents who have not responded to conservative treatments.
  • Multifaceted preparation, appropriate surgical selection, and diligent long-term follow-up are critical.
  • Potential complications require ongoing monitoring and management throughout the patient's life.