INTRODUCTION: In young @entity28 @entity1 , the transition from adolescence to adulthood, i.e., the transition from the pediatric to the adult medical team, is a new issue. In particular, it is important to define when and how this transition should be made in the setting of bariatric surgery. MATERIALS AND METHODS: Fourteen young @entity28 @entity1 (under the age of 20), who underwent bariatric surgery, were included in the study (nine cases of Roux-en-Y gastric by-pass, three sleeve gastrectomy, one gastric banding). After surgery, the @entity1 were followed in both the pediatric and adult departments (protocol 1) or only in the pediatric department during the 1st year and then in the adult department afterwards (protocol 2). Anthropometric and metabolic data, before and after surgery, and compliance monitoring were analyzed using a retrospective design. Twelve @entity1 completed a questionnaire assessing how they experienced the transition. RESULTS: Before surgery, mean age  SD was 16.3  1.8 years old and mean body mass index (BMI) 55.0  8.6kg/m(2). At 1 year after surgery, mean weight loss was -32.1  8.2% of initial body weight. Adherence to vitamin supplementation was judged to be adequate (vitamins were not taken less than once a week) for only 57.5% @entity1 . Mean follow-up was 34.8  25.1 months [95% CI, 9.5-78.4]. None of the @entity1 was lost to follow-up. Compliance was significantly better for @entity1 following protocol 2. Adolescents reported being satisfied with meetings and newsletters about surgery, specific to this age group (91.7%). They also reported that information on the adult department was sufficient and 91.7% of them expressed satisfaction on the first outpatient visit in the adult department. However, all @entity1 spontaneously reported having difficulties identifying members of the different teams: nutritionist pediatrician, nutritionist, and adult surgeon. DISCUSSION: These preliminary data suggest that, in @entity28 adolescents, it is important to differentiate the transition period and the time and preparation for bariatric surgery. A prospective follow-up with a larger number of subjects and recommendations are needed to better define and improve the specific clinical management of @entity28 adolescents transitioning to adulthood.

[Bariatric surgery in XXXX adolescents: When and how should the transition from pediatric to adult medical management be made?]

@entity1 :: ('9606', 'Species') :: ['patients'] @entity28 :: ('MESH:D009765', 'Disease') :: ['obese']
@entity28 :: (MESH:D009765,Disease) :: ['obese']
