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August 17, 2025

Adolescent Bariatric Surgery Pre-Operative Assessment: Real-World Practices vs. Evidence-based Assessment

SSSusan Jones SearsHouston Methodist BBBella BraatThe Ohio State University ECEileen ChavesNationwide Children's Hospital

Key Points

Bariatric surgery improves treatment outcomes for adolescents with class II and III obesity, providing effective weight loss solutions.
The prevalence of youth obesity increased to 19.7% in 2020, highlighting a growing public health concern for adolescents.
Real-world practices for pre-operative assessment vary, indicating a need for aligning methods with evidence-based guidelines.
This analysis suggests that enhancing pre-operative assessments may improve surgical success in adolescents struggling with obesity.

Abstract

Abstract Childhood and adolescent obesity continues to increase. From 2017-2020, the prevalence of youth obesity increased from 16.7% in 2010 to 19.7% in 2020 in the United States 1,2. Bariatric surgery is an effective and efficacious treatment for adolescents with Class II obesity (BMI ≥ 120% to th percentile) and Class III obesity (BMI ≥ 140% of the 95th percentile)3.

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