Selection criteria for adolescent bariatric surgery candidates and key considerations
ZHANG Hong-wei
ZHANG Pin
Abstract：Bariatric surgery serves as an effective treatment for adolescent obesity,but its successful implementation requires systematic management.Indications for surgery should be strictly determined,with a recommendation for adolescents aged 13 and above who have severe obesity with associated comorbidities.A comprehensive preoperative assessment of developmental status,metabolic indicators,and psychosocial factors is essential,supported by a multidisciplinary team.Postoperative management priorities include:(1)Lifestyle modification:focusing on the critical 6-12-month behavioral reshaping period.(2)Nutritional monitoring:adopting a stepwise approach to track micronutrient levels.(3)Psychological intervention:implementing phased dietary adjustment,emotional management,and social adaptation training.(4)Special issue management:enhancing reproductive health guidance and follow-up care.By establishing a medical-family-social support network and implementing personalized intervention strategies,long-term surgical outcomes can be ensured,promoting holistic physical and psychological recovery.Multidisciplinary collaboration remains the cornerstone of treatment quality assurance.
Keywords：adolescent obesitymetabolic and bariatric sur-geryindicationmultidisciplinary teampostoperative manage-ment
Publication Date：2025-10-01
Online Publishing Date：2025-12-09(First online date of this platform, not the publication date of the document)
Pages：4( 1108-1111 )