Örn Malin, Järvholm Kajsa, Gronowitz Eva, Dahlgren Jovanna, Olbers Torsten, Sjögren Lovisa, Engström My
Department of Pediatrics Institute of Clinical Sciences University of Gothenburg Gothenburg Sweden.
Region Västra Götaland Pediatric Obesity Center Sahlgrenska University Hospital Gothenburg Sweden.
Obes Sci Pract. 2025 Mar 29;11(2):e70070. doi: 10.1002/osp4.70070. eCollection 2025 Apr.
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.
To explore the long-term patient experiences of adolescents undergoing MBS.
A qualitative content analysis utilizing individual semi-structured interviews with 18 patients conducted a decade after MBS.
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.
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.
尽管代谢和减肥手术（MBS）治疗重度肥胖的有效性已有充分记录，但在了解青少年的生活经历和观点方面仍存在重大差距。弥补这些差距对于加强以患者为中心的护理和支持长期疗效至关重要。
探讨接受MBS的青少年的长期患者体验。
采用定性内容分析法，对MBS十年后接受个体半结构式访谈的18名患者进行分析。
分析确定了三个关键类别：MBS帮助下的日常生活改善、支持与日常安排以及对青少年时期接受MBS这一决定的反思。MBS后的体重减轻被描述为改善日常生活的关键，因为它增强了身体、心理和社会健康。参与者强调需要增加获得初级和专科医疗保健的机会，并具备适当的后续护理知识。他们还强调了在MBS之前识别和治疗伴随的神经精神和心理障碍的重要性。此外，受访者强调了心理社会支持对于维持术后积极变化的重要性。
青少年时期接受MBS的患者满意度较高。该治疗被认为有助于改善日常生活和整体幸福感，大多数人会向类似情况的其他人推荐MBS。然而，参与者强调需要持续的多学科支持，并承认MBS后生活中存在的挑战。值得注意的是，相当一部分人没有定期进行医学随访，这凸显了制定结构化策略以确保坚持术后护理的重要性。
