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Growing Up After Adolescent Bariatric Surgery.

Annalyn S DeMello1, Darlene E Acorda2, Debbe Thompson3

  • 1The University of Texas Medical Branch, Galveston, TX, USA.

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Summary
This summary is machine-generated.

Adolescent bariatric surgery offers physical benefits but presents long-term challenges in eating habits and body image for young adults. Continued clinical support is crucial for managing post-surgery adjustment and health.

Keywords:
adolescentbariatricobesityweight lossyoung adult

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Area of Science:

  • Adolescent health
  • Bariatric surgery outcomes
  • Young adult transition

Background:

  • Adolescent bariatric surgery is increasingly common, yet long-term outcomes into young adulthood require further investigation.
  • Understanding the psychosocial and physical adjustments post-adolescent bariatric surgery is critical for effective clinical management.
  • Limited research exists on the experiences of young adults a decade after undergoing bariatric surgery during adolescence.

Purpose of the Study:

  • To explore the long-term effects of adolescent bariatric surgery on young adults approximately 10 years post-procedure.
  • To identify key themes and challenges faced by individuals who underwent bariatric surgery in adolescence as they transition into young adulthood.
  • To inform clinical practice regarding the ongoing support needs of this population.

Main Methods:

  • Exploratory, qualitatively-driven mixed methods design.
  • Recruitment from a hospital-based bariatric registry.
  • Integration of survey data (SF-36, Body QoL, Transition Readiness Assessment Questionnaire), medical charts, and semi-structured phone interviews.

Main Results:

  • Twenty-two participants (median age 25 years) completed surveys, with 20 also completing interviews; median weight loss was 23%.
  • Four emergent themes: taking control, weight loss challenges, body image adjustment, and growing up.
  • Participants reported physical benefits but faced difficulties with eating habits, body image, and relationships; indifference towards preventative healthcare was noted.

Conclusions:

  • Adolescent bariatric surgery yields physical benefits but necessitates ongoing management of eating behaviors, body image concerns, and interpersonal dynamics.
  • Young adults post-adolescent bariatric surgery may neglect preventative healthcare, risking vitamin deficiencies and comorbidity recurrence.
  • Clinicians should provide sustained mental health support, education, and medical monitoring to aid the transition to adulthood for these individuals.