Indications and Contraindications for Adolescent Metabolic and Bariatric Surgery
| Wt Criteria . | Comorbid Conditions . |
|---|---|
| Class 2 obesity, BMI ≥35, or 120% of the 95th percentile for age and sex, whichever is lower | Clinically significant disease, including obstructive sleep apnea (AHI >5), T2DM, IIH, NASH, Blount disease, SCFE, GERD, and hypertension |
| Class 3 obesity, BMI ≥40, or 140% of the 95th percentile for age and sex, whichever is lower | Not required but commonly present |
| Wt Criteria . | Comorbid Conditions . |
|---|---|
| Class 2 obesity, BMI ≥35, or 120% of the 95th percentile for age and sex, whichever is lower | Clinically significant disease, including obstructive sleep apnea (AHI >5), T2DM, IIH, NASH, Blount disease, SCFE, GERD, and hypertension |
| Class 3 obesity, BMI ≥40, or 140% of the 95th percentile for age and sex, whichever is lower | Not required but commonly present |
AHI, Apnea-Hypopnea Index; GERD, gastroesophageal reflux disease; IIH, idiopathic intracranial hypertension; NASH, nonalcoholic steatohepatitis; SCFE, slipped capital femoral epiphysis; T2DM, type 2 diabetes mellitus.