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Review
. 2021 Jun;10(2):61-69.
doi: 10.1007/s13679-021-00423-3. Epub 2021 Mar 16.

Metabolic and Bariatric Surgery in Adolescents

Christopher G Chalklin  1 , Elizabeth G Ryan Harper  1 , Andrew J Beamish  2   3   4
Affiliations
Review

Metabolic and Bariatric Surgery in Adolescents

Christopher G Chalklin et al. Curr Obes Rep. 2021 Jun.

Abstract

Purpose of review: The prevalence of obesity is increasing in all age groups. Following its success in adults, and with limited success using conservative therapies, metabolic and bariatric surgery (MBS) is increasingly being utilized in adolescents. This review highlights the current evidence and guidelines supporting its use.

Recent findings: Safety and efficacy mirror results seen in adults. The most recent evidence, as outcomes enter the long term, suggests that comorbidity resolution, including diabetes and hypertension, can even outperform that of adults. Mental health problems persist despite good weight loss. Overall, the positive early weight and comorbidity outcomes are well sustained into the long term. There is a growing need to prevent and treat adolescent obesity. Current evidence supports the use of MBS in adolescents. Ongoing and future studies will provide 10-year outcomes and assist in the refinement of multimodal pathways incorporating MBS for the treatment of severe childhood obesity.

Keywords: Adolescent; Bariatric surgery; Cardiovascular disease; Childhood obesity; Obesity; Type 2 diabetes.

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Conflict of interest statement

Christopher G. Chalklin, Elizabeth G. Ryan Harper and Andrew J. Beamish declare that they have no conflict of interest.

Figures

Fig. 1
Fig. 1
Change in BMI in the Teen Longitudinal Assessment of Bariatric Surgery (Teen-LABS) study and Adolescent Morbid Obesity Surgery (AMOS) study
See this image and copyright information in PMC

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