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In the United States, obesity is a prominent concern. It is linked to heightened mortality rates due to increased occurrences of conditions such as hypertension, atherosclerosis, coronary artery disease, and diabetes compared to nonobese individuals. A patient is classified as obese if their actual body weight surpasses the ideal or desirable body weight by 20%, based on Metropolitan Life Insurance Company data. Ideal body weights consider average weights and heights for males and females...
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Bulimia nervosa is a complex and severe eating disorder characterized by a cyclical pattern of binge-and-purge eating pattern. It generally involves an episode of binge eating, followed by compensatory behaviors such as vomiting, excessive exercise, laxative use, or fasting, to prevent weight gain. Despite often maintaining a normal weight, individuals with bulimia are intensely preoccupied with their body image and harbor an overwhelming fear of gaining weight. This can contribute to the...
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Related Experiment Video

Updated: Feb 28, 2026

Sleeve Gastrectomy in Mice using Surgical Clips
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Weight Loss Surgery in Adolescents.

Amy L Christison1, Sandeep K Gupta1

  • 11 Department of Pediatrics, University of Illinois College of Medicine at Peoria, Peoria, Illinois, USA.

Nutrition in Clinical Practice : Official Publication of the American Society for Parenteral and Enteral Nutrition
|June 20, 2017
PubMed
Summary

Severe obesity affects 8.7% of adolescents, posing cardiometabolic risks. Weight loss surgery (WLS) offers an alternative, with outcomes comparable to adults when managed by expert multidisciplinary teams.

Keywords:
adolescentbariatric surgeryobesityweight loss

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Area of Science:

  • Pediatric Endocrinology
  • Bariatric Surgery
  • Public Health

Background:

  • Childhood obesity is a significant national health issue, with severe obesity impacting 8.7% of adolescents.
  • Associated cardiometabolic risks are substantial in this population.
  • Current nonsurgical treatments for adolescent severe obesity yield modest results, necessitating alternative interventions.

Purpose of the Study:

  • To review the literature on the selection, management, and outcomes of adolescents undergoing weight loss surgery (WLS).
  • To understand the specific considerations for WLS in adolescents compared to adults.
  • To identify areas for future research and policy development.

Main Methods:

  • Literature review of studies concerning adolescent weight loss surgery.
  • Analysis of selection criteria, multidisciplinary management protocols, and patient outcomes.
  • Comparison of adolescent WLS outcomes with adult data.

Main Results:

  • Adolescent guidelines for WLS emphasize physical/emotional maturity and comorbidities, with higher BMI cutoffs than adults.
  • Medium-term to long-term outcomes of WLS in adolescents are comparable to those in adults.
  • Successful outcomes are contingent upon expert multidisciplinary team management, addressing psychosocial development and family support.

Conclusions:

  • Weight loss surgery is a viable treatment option for severe adolescent obesity, offering outcomes similar to adults.
  • Multidisciplinary care is crucial for optimizing WLS results in developing adolescents.
  • Further research is needed on optimal surgical indications, postoperative adherence, and long-term life expectancy impacts.