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Bariatric surgery – adolescent — RACP Paediatrics MCQ

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HardEndocrineBariatric surgery – adolescentRACP Paediatrics

A 16-year-old with BMI 52 and multiple obesity-related comorbidities (type 2 diabetes, severe OSA requiring CPAP, NAFLD with fibrosis) has failed all medical and lifestyle interventions over 2 years. What intervention should be discussed?

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Correct answer: C — Bariatric surgery

Bariatric surgery (sleeve gastrectomy is most common in adolescents) may be considered for adolescents with BMI ≥40 (or ≥35 with severe comorbidities) who have failed comprehensive medical management. Australian guidelines recommend referral to a multidisciplinary bariatric team. Surgery can produce sustained weight loss and resolution of metabolic comorbidities.

Reference: RACP Paediatric Curriculum – Endocrine; RCH Melbourne – 2023 – Obesity CPG