Long-term Outcomes Following Adolescent Metabolic and Bariatric Surgery

Severe obesity in adolescence negatively impacts upon health and wellbeing. Lifestyle modifications do not usually achieve a sufficient degree or durability of weight loss to mitigate the risk of medical complications. In recent years, metabolic and bariatric surgery (MBS), already a well-established treatment for adults with severe obesity, has emerged as an option in adolescents. Controlled studies in this age group have demonstrated substantial and sustained weight loss, improvements in associated health parameters, and a safety profile surpassing that observed in adult patients. This review aims to present published data on the results of MBS in adolescents with a focus on long-term outcomes. Indications for bariatric surgery and aspects of timing in the young persons life are also presented, along with safety considerations and factors influencing patient selection for surgery. We conclude, predominantly from short- to medium-term outcomes data, that MBS is a safe and valuable therapeutic option for adolescents with severe obesity. Considering the poor health and social wellbeing prognosis in this group, MBS appears to be underutilized. The need for continued research, multiprofessional specialist provision, coherent contemporary clinical guidelines, and routine long-term follow-up in adolescents undergoing MBS is highlighted.

Ryan Harper, ElizabethHlth Educ & Improvement Wales HEIW, England,Health Education and Improvement Wales (författare)
Järvholm, KajsaLund University,Lunds universitet,Institutionen för psykologi,Samhällsvetenskapliga institutioner och centrumbildningar,Samhällsvetenskapliga fakulteten,Department of Psychology,Departments of Administrative, Economic and Social Sciences,Faculty of Social Sciences,Skåne University Hospital,Lund Univ, Sweden; Skane Univ Hosp, Sweden(Swepub:lu)psyc-kaj (författare)
Janson, AnnikaKarolinska Institutet,Karolinska University Hospital,Karolinska Univ Hosp, Sweden; Karolinska Inst, Sweden (författare)
Olbers, TorstenLinköping University,Linköpings universitet,Avdelningen för kirurgi, ortopedi och onkologi,Medicinska fakulteten,Region Östergötland, Kirurgiska kliniken ViN,Skane Univ Hosp, Sweden,Skåne University Hospital(Swepub:liu)torol42 (författare)
Karolinska InstitutetHlth Educ & Improvement Wales HEIW, England (creator_code:org_t)

Ingår i:Journal of Clinical Endocrinology and Metabolism: ENDOCRINE SOC108:9, s. 2184-21920021-972X1945-7197

Av författaren/redakt...: Beamish, Andrew ...; Ryan Harper, Eli ...; Järvholm, Kajsa; Janson, Annika; Olbers, Torsten

Om ämnet

MEDICIN OCH HÄLSOVETENSKAP: MEDICIN OCH HÄLS ...; och Hälsovetenskap; och Folkhälsovetensk ...

Av lärosätet: Linköpings universitet; Lunds universitet; Karolinska Institutet

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