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Long-term Outcomes Following Adolescent Metabolic and Bariatric Surgery.

Andrew J Beamish1,2, Elizabeth Ryan Harper3, Kajsa Järvholm4,5

  • 1Department of General Surgery, Welsh Institute of Metabolic and Obesity Surgery, Morriston Hospital, Swansea, UK.

The Journal of Clinical Endocrinology and Metabolism
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PubMed
Summary

Metabolic and bariatric surgery (MBS) offers a safe and effective solution for severe adolescent obesity, leading to significant weight loss and improved health. Despite its benefits, MBS is underutilized in this population, highlighting the need for increased access and research.

Keywords:
adolescentsbariatric surgerychildrenguidelinesmetabolic and bariatric surgeryobesity

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Area of Science:

  • Adolescent Health
  • Surgical Interventions
  • Obesity Management

Background:

  • Severe adolescent obesity poses significant health and wellbeing risks.
  • Lifestyle modifications often fail to achieve lasting weight loss.
  • Metabolic and bariatric surgery (MBS) is an emerging treatment option for adolescents.

Approach:

  • Review of published data on MBS outcomes in adolescents.
  • Focus on long-term results, safety, and efficacy.
  • Discussion of surgical indications, timing, and patient selection.

Key Points:

  • MBS demonstrates substantial and sustained weight loss in adolescents.
  • Associated health parameters show significant improvement post-surgery.
  • Safety profile in adolescents surpasses that of adult patients.

Conclusions:

  • MBS is a safe and valuable treatment for severe adolescent obesity.
  • Current utilization of MBS in adolescents is suboptimal.
  • Further research, guidelines, and long-term follow-up are crucial.