Veronica R Johnson1, Kayla A Northam2,3, Joice J Smith4, Faith Anne Newsome5, Gricelda Gomez6,7, Fatima Cody Stanford7,8. 1. Department of General Internal Medicine and Geriatrics, Northwestern University Feinberg School of Medicine. 2. Simmons University, Boston, MA. 3. Brigham and Women's Faulkner Hospital, Boston, MA. 4. Newbury College, Brookline, MA. 5. University of North Carolina at Chapel Hill, Chapel Hill, NC. 6. Department of Surgery-Urology, Brigham and Women's Hospital, Boston, MA. 7. Harvard Medical School, Boston, MA. 8. Neuroendocrine Unit, Pediatric Endocrinology, MGH Weight Center, and Nutrition Obesity Research Center at Harvard, Massachusetts General Hospital and Harvard Medical School, Boston, MA.
Abstract
BACKGROUND: Severe obesity in adolescence and young adulthood is undertreated which leads to obesity-related chronic diseases that progress into adulthood. Many organizations including the American Academy of Pediatrics (AAP) support early consideration of metabolic and bariatric surgery (MBS) in the pediatric population to reduce morbidity and mortality. METHODS: Five diverse patients who underwent metabolic and bariatric surgery (MBS) in the form of a Roux-en-Y gastric bypass (RYGB) and vertical sleeve gastrectomy (VSG) contributed patient narratives that captured their life, with a focus on health related quality of life, before and after MBS. RESULTS: MBS leads to significant improvement in health status via decreased mortality and improved health related quality of life. CONCLUSION: The perspectives of those patients who have undergone surgery in adolescence and young adulthood are not adequately captured in the medical literature. While the featured voices are not representative of all, their narratives may increase awareness and utilization of MBS in the treatment of severe obesity in the pediatric population.
BACKGROUND: Severe obesity in adolescence and young adulthood is undertreated which leads to obesity-related chronic diseases that progress into adulthood. Many organizations including the American Academy of Pediatrics (AAP) support early consideration of metabolic and bariatric surgery (MBS) in the pediatric population to reduce morbidity and mortality. METHODS: Five diverse patients who underwent metabolic and bariatric surgery (MBS) in the form of a Roux-en-Y gastric bypass (RYGB) and vertical sleeve gastrectomy (VSG) contributed patient narratives that captured their life, with a focus on health related quality of life, before and after MBS. RESULTS: MBS leads to significant improvement in health status via decreased mortality and improved health related quality of life. CONCLUSION: The perspectives of those patients who have undergone surgery in adolescence and young adulthood are not adequately captured in the medical literature. While the featured voices are not representative of all, their narratives may increase awareness and utilization of MBS in the treatment of severe obesity in the pediatric population.
Entities:
Keywords:
adolescents; bariatric surgery; obesity; overweight; weight bias; young adults
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