Long-term outcomes following adolescent metabolic and bariatric surgery
(2023) In The Journal of clinical endocrinology and metabolism 108(9). p.2184-2192- Abstract
- 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... (More)
- 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 person's 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. (Less)
Please use this url to cite or link to this publication:
https://lup.lub.lu.se/record/042cf91e-53f6-464d-a902-61750eeedfe7
- author
- Beamish, Andrew ; Ryan Harper, Elizabeth ; Järvholm, Kajsa LU ; Janson, Annika and Olbers, Torsten
- organization
- publishing date
- 2023
- type
- Contribution to journal
- publication status
- published
- subject
- in
- The Journal of clinical endocrinology and metabolism
- volume
- 108
- issue
- 9
- pages
- 2184 - 2192
- publisher
- Oxford University Press
- external identifiers
-
- pmid:36947630
- scopus:85168315872
- ISSN
- 1945-7197
- DOI
- 10.1210/clinem/dgad155
- language
- English
- LU publication?
- yes
- id
- 042cf91e-53f6-464d-a902-61750eeedfe7
- date added to LUP
- 2023-03-24 09:22:35
- date last changed
- 2024-02-20 00:33:32
@article{042cf91e-53f6-464d-a902-61750eeedfe7,
abstract = {{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 person's 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.}},
author = {{Beamish, Andrew and Ryan Harper, Elizabeth and Järvholm, Kajsa and Janson, Annika and Olbers, Torsten}},
issn = {{1945-7197}},
language = {{eng}},
number = {{9}},
pages = {{2184--2192}},
publisher = {{Oxford University Press}},
series = {{The Journal of clinical endocrinology and metabolism}},
title = {{Long-term outcomes following adolescent metabolic and bariatric surgery}},
url = {{http://dx.doi.org/10.1210/clinem/dgad155}},
doi = {{10.1210/clinem/dgad155}},
volume = {{108}},
year = {{2023}},
}