Adolescent Bariatric Surgery — RACP Paediatrics MCQ
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Correct answer: E — May be considered for adolescents with BMI ≥40 (or ≥35 with severe comorbidities) who have failed structured lifestyle intervention
Bariatric surgery in adolescents is considered only for severe obesity (BMI ≥40 or ≥35 with serious comorbidities like T2DM, NASH, OSA) after failure of at least 6 months of structured multidisciplinary lifestyle intervention. It should be performed in specialist adolescent bariatric centres. Laparoscopic sleeve gastrectomy is the most common procedure.
Reference: RCH Melbourne – 2024 – Clinical Practice Guidelines: Adolescent Obesity