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The current paradigm of bariatric surgery in adolescents

Severe obesity in adolescents affects their health and quality of life. Currently, metabolic and bariatric surgery (MBS) is the only effective intervention, but only a limited number of individuals undergo MBS procedures. Therefore, vigorous research in MBS is a priority for the benefit of adolescents with obesity.

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References

  1. Kitahara, C. M. et al. Association between class III obesity (BMI of 40–59 kg/m2) and mortality: a pooled analysis of 20 prospective studies. PLoS Med. 11, e1001673 (2014).

    Article  Google Scholar 

  2. Ryder, J. R., Fox, C. K. & Kelly, A. S. Treatment options for severe obesity in the pediatric population: current limitations and future opportunities. Obesity 26, 951–960 (2018).

    Article  Google Scholar 

  3. Pratt, J. S. A. et al. ASMBS pediatric metabolic and bariatric surgery guidelines, 2018. Surg. Obes. Relat. Dis. 14, 882–901 (2018).

    Article  Google Scholar 

  4. Ahlin, S. et al. Fracture risk after three bariatric surgery procedures in Swedish obese subjects: up to 26 years follow-up of a controlled intervention study. J. Intern. Med. 287, 546–557 (2020).

    Article  CAS  Google Scholar 

  5. Johansson, K. et al. Long-term risk of anaemia after bariatric surgery: results from the Swedish Obese Subjects study. Lancet Diabetes Endocrinol. 9, 515–524 (2021).

    Article  Google Scholar 

  6. Alqahtani, A. R., Elahmedi, M., Abdurabu, H. Y. & Alqahtani, S. Ten-year outcomes of children and adolescents who underwent sleeve gastrectomy: weight loss, comorbidity resolution, adverse events, and growth velocity. J. Am. Coll. Surg. 233, 657–664 (2021).

    Article  Google Scholar 

  7. Beamish, A. J. et al. Body composition and bone health in adolescents after Roux-en-Y gastric bypass for severe obesity. Pediatr. Obes. 12, 239–246 (2017).

    Article  CAS  Google Scholar 

  8. Karefylakis, C. et al. Prevalence of anemia and related deficiencies 10 years after gastric bypass — a retrospective study. Obes. Surg. 25, 1019–1023 (2015).

    Article  Google Scholar 

  9. Inge, T. H. et al. Five-year outcomes of gastric bypass in adolescents as compared with adults. N. Engl. J. Med. 380, 2136–2145 (2019).

    Article  Google Scholar 

  10. TODAY Study Group. A clinical trial to maintain glycemic control in youth with type 2 diabetes. N. Engl. J. Med. 366, 2247–2256 (2012).

    Article  Google Scholar 

Download references

Acknowledgements

The authors thank R. Boles for his careful review of this manuscript and thoughtful input into its content.

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Correspondence to Thomas H. Inge.

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Inge, T.H., Ryder, J.R. The current paradigm of bariatric surgery in adolescents. Nat Rev Gastroenterol Hepatol 20, 1–2 (2023). https://doi.org/10.1038/s41575-022-00713-8

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