Long-Term Experience of Undergoing Metabolic and Bariatric Surgery as an Adolescent.

Abstract

Despite the well-documented effectiveness of metabolic and bariatric surgery (MBS) in treating severe obesity, significant gaps persist in understanding adolescents' lived experiences and perspectives. Addressing these gaps is essential for enhancing patient-centered care and supporting long-term outcomes.

Objective: To explore the long-term patient experiences of adolescents undergoing MBS.

Methods: A qualitative content analysis utilizing individual semi-structured interviews with 18 patients conducted a decade after MBS.

Results: The analysis identified three key categories: Enhanced daily life with the help of MBS, Support and routines, and Reflections on the decision to undergo MBS as an adolescent. Weight loss following MBS was described as pivotal in improving daily life due to enhanced physical, mental and social health. Participants emphasized the need for enhanced access to primary and specialist healthcare with appropriate knowledge of follow-up care. They also underscored the importance of identifying and treating concomitant neuropsychiatric and mental disorders prior to MBS. Additionally, informants highlighted the importance of psychosocial support to maintain the positive changes established post-surgery.

Conclusions: A high level of satisfaction was expressed among those who had undergone MBS as an adolescent. The treatment was considered to help improve daily life and overall well-being and the majority would recommend MBS to others in comparable situations. However, participants highlighted the need for ongoing multidisciplinary support and acknowledged the challenges associated with life after MBS. Notably, a significant proportion of individuals did not attend regular medical follow-ups, emphasizing the importance of structured strategies to ensure adherence to postoperative care.