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Bariatric Surgery in Adolescents

  • General Surgery (E Barksdale, Section Editor)
  • Published:
Current Treatment Options in Pediatrics Aims and scope Submit manuscript

Abstract

Purpose of review

To provide an update on bariatric/metabolic surgery in adolescents including pre-operative multidisciplinary workup, operative options, and outcomes

Recent findings

Obesity among teenagers is rising in the USA and much of the world. However, there is no one single solution to cure obesity and associated comorbidities in obese adolescents. Reasonable alternatives to surgical intervention include a multidisciplinary team effort that would consider lifestyle modifications and collaborative behavioral approaches. While this option can treat mild-to-moderate obesity, severely obese adolescents often require a more aggressive approach. To date, bariatric surgery is the best solution for morbid obesity with effective results. The most commonly performed weight loss operations are Roux-en-Y gastric bypass (RYGB) and vertical sleeve gastrectomy (VSG). Sleeve gastrectomy is becoming the most popular procedure for teenagers with promising short-term results. However, there is no clear recommendation to support one procedure over the other long term.

Summary

Effective management of obese adolescents requires early referral, a multidisciplinary team approach, and early identification of potential surgical candidates. Preventive techniques, safe pharmacological therapies, easily adopted behavioral and dietary changes, and safer and less invasive surgical techniques should be the focus of future practice. Also, long-term follow-up on adolescents’ post-bariatric surgery would provide a better understanding of this approach to adolescents in terms of comorbidity resolution, the psychosocial benefits, and the impact on life expectancy.

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Acknowledgments

The authors wish to thank Dr. Tammy Kindel for reviewing their manuscript. They also wish to thank Rachel Kitson for designing their diagrams.

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Authors and Affiliations

  1. Department of Pediatric Surgery, John R. Oishei Children’s Hospital, 1001 Main St, Buffalo, NY, 14203, USA

    Abdulraouf Lamoshi MD, MS, MPH & Carroll M. Harmon MD, PhD

  2. Department of Pediatric General and Thoracic Surgery, Children’s of Alabama, Birmingham, AL, USA

    Mike Chen MD, MBA

  3. Department of Pediatrics, Division of Pediatric Endocrinology, University at Buffalo Jacobs School of Medicine and Biomedical Sciences, Buffalo, NY, USA

    Indrajit Majumdar MD

  4. Department of Surgery, University at Buffalo Jacobs School of Medicine and Biomedical Sciences, Buffalo, NY, USA

    Carroll M. Harmon MD, PhD

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  1. Abdulraouf Lamoshi MD, MS, MPH
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Correspondence to Carroll M. Harmon MD, PhD.

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Lamoshi, A., Chen, M., Majumdar, I. et al. Bariatric Surgery in Adolescents. Curr Treat Options Peds 6, 140–154 (2020). https://doi.org/10.1007/s40746-020-00196-2

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