Bariatric surgery and semaglutide in a youth with juvenile Huntington disease and severe obesity: a case report

This case illustrates the ethical considerations and challenges of managing severe obesity in juvenile Huntington disease. The decision to proceed with bariatric surgery prioritized improving quality of life, given the patient's limited life expectancy. The use of a multimodal treatment approach, including semaglutide and laparoscopic sleeve gastrectomy, significantly improved both physical health and psychosocial well-being. This case highlights the importance of shared decision-making in managing complex obesity cases in pediatric populations with neurodegenerative diseases.

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Publication Details

Journal
Journal of Medical Case Reports
Published
2025-10-21
DOI
https://doi.org/10.1186/s13256-025-05615-2
Primary Topic
Genetic Neurodegenerative Diseases
Type
article
Field-Weighted Citation Impact
0.00

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Bariatric surgery and semaglutide in a youth with juvenile Huntington disease and severe obesity: a case report

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Bariatric surgery and semaglutide in a youth with juvenile Huntington disease and severe obesity: a case report

Michael A. Weitzner, Alaina P. Vidmar, Sabrina Derrington, Aimee G. Kim, Kamran Samakar, Matthew J. Martin, Stuart Abel, Cynthia E. Muñoz
article en

Abstract

This case illustrates the ethical considerations and challenges of managing severe obesity in juvenile Huntington disease. The decision to proceed with bariatric surgery prioritized improving quality of life, given the patient's limited life expectancy. The use of a multimodal treatment approach, including semaglutide and laparoscopic sleeve gastrectomy, significantly improved both physical health and psychosocial well-being. This case highlights the importance of shared decision-making in managing complex obesity cases in pediatric populations with neurodegenerative diseases.

Journal of Medical Case ReportsVol. 19(1)
University of Southern California (US), Children's Hospital of Los Angeles (US)
American Diabetes Association, National Institutes of Health, National Institute of Diabetes and Digestive and Kidney Diseases
Openalex Percentile: Top 67%
Genetic Neurodegenerative Diseases
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