{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,9]],"date-time":"2026-10-09T18:28:32Z","timestamp":1791570512714,"version":"4.3.4"},"reference-count":29,"publisher":"Wiley","issue":"5","license":[{"start":{"date-parts":[[2026,2,23]],"date-time":"2026-02-23T00:00:00Z","timestamp":1771804800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2026,2,23]],"date-time":"2026-02-23T00:00:00Z","timestamp":1771804800000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["ANZ Journal of Surgery"],"published-print":{"date-parts":[[2026,5]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Metabolic bariatric surgery in adolescents is an evolving field, and data are limited in Australia. Surgery in this age group has special safety, social and ethical considerations. The impact of MBS on psychiatric, mental health and psychosocial wellbeing is poorly understood. We review the patient demographics, mental health conditions, weight outcomes, complications and follow\u2010up of a cohort of adolescents who underwent laparoscopic sleeve gastrectomy (SG) by a single surgeon in a large volume clinic with an established adolescent multidisciplinary team program receiving patients from across Australia and New Zealand.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>A prospective bariatric database was retrospectively analysed to review the adolescents aged 13\u201319 who underwent a primary SG from December 2011 to December 2024. Patients who were a minimum of 6\u2009months post\u2010surgery were included.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Sixty\u2010three patients aged 13\u201319\u2009years old underwent primary SG. Median pre\u2010operative weight and body mass index (BMI) were 123\u2009kg and 42.1\u2009kg\/m\n                      <jats:sup>2<\/jats:sup>\n                      . Pre\u2010operatively, 26 adolescents reported a psychiatric and\/or mental health disorder, seven reported suicidal ideation or self\u2010harm history and six reported experiencing severe weight\u2010bullying. At 3\u2009months, 6\u2009months, 12\u2009months and 2\u2009years after SG, median BMI decreased to 33.6, 30.6, 27.5 and 28.1\u2009kg\/m\n                      <jats:sup>2<\/jats:sup>\n                      , respectively. Follow\u2010up rates progressively decreased and were 42% at 2\u2009years. There was no mortality and one staple line leak.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>SG is a safe and promising option for the treatment of adolescents living with obesity in the short to medium\u2010term. The high prevalence of mental health disorders and poor follow\u2010up are major concerns. Long\u2010term data with better follow\u2010up is required in Australia.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/ans.70548","type":"journal-article","created":{"date-parts":[[2026,3,8]],"date-time":"2026-03-08T11:56:02Z","timestamp":1772970962000},"page":"1212-1217","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["Laparoscopic Sleeve Gastrectomy for Adolescents With Severe Obesity: Medium\u2010Term Weight Outcomes and Mental Health Insights"],"prefix":"10.1111","volume":"96","author":[{"ORCID":"https:\/\/orcid.org\/0009-0007-4857-7617","authenticated-orcid":false,"given":"John","family":"Peacey","sequence":"first","affiliation":[{"name":"Metabolic GI Surgery Brisbane  Chermside Queensland Australia"},{"name":"St. Vincent's Hospital Northside  Chermside Queensland Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Shiyen","family":"Lim","sequence":"additional","affiliation":[{"name":"Mackay Base Hospital  Mackay Queensland Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"George","family":"Hopkins","sequence":"additional","affiliation":[{"name":"Metabolic GI Surgery Brisbane  Chermside Queensland Australia"},{"name":"St. Vincent's Hospital Northside  Chermside Queensland Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Christine","family":"Skinner","sequence":"additional","affiliation":[{"name":"Metabolic GI Surgery Brisbane  Chermside Queensland Australia"},{"name":"St. Vincent's Hospital Northside  Chermside Queensland Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,2,23]]},"reference":[{"key":"e_1_2_14_2_1","unstructured":"Australian Institute of Health and Welfare \u201cOverweight and Obesity [Internet] \u201dAustralian Institute of Health and Welfare 2023 https:\/\/www.aihw.gov.au\/reports\/overweight\u2010obesity\/overweight\u2010andobesity\/contents\/about."},{"key":"e_1_2_14_3_1","doi-asserted-by":"publisher","DOI":"10.1590\/2359-3997000000310"},{"key":"e_1_2_14_4_1","doi-asserted-by":"publisher","DOI":"10.1111\/obr.12334"},{"key":"e_1_2_14_5_1","doi-asserted-by":"publisher","DOI":"10.1038\/oby.2009.67"},{"key":"e_1_2_14_6_1","doi-asserted-by":"publisher","DOI":"10.1038\/s41366-018-0230-y"},{"key":"e_1_2_14_7_1","doi-asserted-by":"publisher","DOI":"10.1056\/NEJMoa2208601"},{"key":"e_1_2_14_8_1","volume-title":"Sleeve Gastrectomy [Internet]","author":"Seeras 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