Young adults who had pediatric bariatric surgery showed notable marijuana and e-cigarette use

Among young adults followed up to 6 years after pediatric bariatric surgery, marijuana and e-cigarette use were documented, raising concerns about substance use during a vulnerable recovery period.

RTHC-05051Longitudinallow2023RETHINKTHC RESEARCH DATABASErethinkthc.com/research

Quick Facts

Study Type
longitudinal
Evidence
low
Sample
Not reported

What This Study Found

Marijuana, conventional cigarette, and e-cigarette use were observed in young adults who had undergone pediatric bariatric surgery, with substance use patterns emerging during the post-surgical years when addiction vulnerability may be heightened.

Key Numbers

Five academic medical centers. Young adults followed up to 6 years post-pediatric bariatric surgery. Marijuana, cigarettes, and e-cigarettes/alternative products assessed.

How They Did This

Longitudinal follow-up of young adults from five academic medical centers who underwent pediatric metabolic and bariatric surgery. Assessed marijuana, cigarette, and alternative tobacco product use up to 6 years post-surgery.

Why This Research Matters

Post-bariatric surgery patients face altered substance metabolism and increased addiction risk. Understanding substance use patterns in this population is important for post-surgical care guidelines.

The Bigger Picture

Bariatric surgery is increasingly performed in adolescents, and the post-surgical years coincide with peak substance experimentation. Altered gut absorption after surgery may change how substances, including cannabis, are metabolized.

What This Study Doesn't Tell Us

Multi-center but likely small sample. Self-reported substance use. Cannot compare to non-surgical controls without additional data. Post-surgical metabolic changes may affect how substances are processed but were not measured.

Questions This Raises

  • ?Does bariatric surgery alter cannabis metabolism or subjective effects?
  • ?Should post-bariatric care protocols specifically screen for and address substance use?

Trust & Context

Key Stat:
Marijuana and e-cigarette use documented up to 6 years post-pediatric bariatric surgery
Evidence Grade:
Multi-center longitudinal study. Descriptive data without control comparison limits interpretation.
Study Age:
Published 2023.
Original Title:
Marijuana, e-cigarette, and tobacco product use in young adults who underwent pediatric bariatric surgery.
Published In:
Surgery for obesity and related diseases : official journal of the American Society for Bariatric Surgery, 19(5), 512-521 (2023)
Database ID:
RTHC-05051

Evidence Hierarchy

Meta-Analysis / Systematic Review
Randomized Controlled Trial
Cohort / Case-Control
Cross-Sectional / ObservationalSnapshot without intervening
This study
Case Report / Animal Study
What do these levels mean? →

Frequently Asked Questions

Why does substance use matter after bariatric surgery?

Bariatric surgery changes gut anatomy and metabolism, potentially altering how substances like cannabis are absorbed and processed. Additionally, cross-addiction (developing new substance dependencies after surgery) is a recognized phenomenon in bariatric populations.

Do teens use cannabis after weight loss surgery?

This study documents marijuana use among young adults followed after pediatric bariatric surgery. The post-surgical period coincides with adolescence and young adulthood, when substance experimentation typically peaks, creating a convergence of surgical and developmental risk factors.

Read More on RethinkTHC

Cite This Study

RTHC-05051·https://rethinkthc.com/research/RTHC-05051

APA

Zeller, Meg H; Strong, Heather; Reiter-Purtill, Jennifer; Jenkins, Todd M; Mitchell, James E; Michalsky, Marc P; Helmrath, Michael A. (2023). Marijuana, e-cigarette, and tobacco product use in young adults who underwent pediatric bariatric surgery.. Surgery for obesity and related diseases : official journal of the American Society for Bariatric Surgery, 19(5), 512-521. https://doi.org/10.1016/j.soard.2022.11.008

MLA

Zeller, Meg H, et al. "Marijuana, e-cigarette, and tobacco product use in young adults who underwent pediatric bariatric surgery.." Surgery for obesity and related diseases : official journal of the American Society for Bariatric Surgery, 2023. https://doi.org/10.1016/j.soard.2022.11.008

RethinkTHC

RethinkTHC Research Database. "Marijuana, e-cigarette, and tobacco product use in young adu..." RTHC-05051. Retrieved from https://rethinkthc.com/research/zeller-2023-marijuana-ecigarette-and-tobacco

Access the Original Study

Study data sourced from PubMed, a service of the U.S. National Library of Medicine, National Institutes of Health.

This study breakdown was produced by the RethinkTHC research team. We analyze and report published research findings without making health recommendations. All interpretations are based solely on the published abstract and study data.