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Obes Surg. 2017 Dec;27(12):3110-3117. doi: 10.1007/s11695-017-2738-y.

Long-Term Outcome of Bariatric Surgery in Morbidly Obese Adolescents: a Systematic Review and Meta-Analysis of 950 Patients with a Minimum of 3 years Follow-Up.

Author information

1
Department of Medicine and Surgery, Tehran University of Medical Sciences, No17, Isar 2 Alley, Khandaee street, Kashan, Tehran, 8719757161, Iran. saeedshoar@gmail.com.
2
Department of Surgery, Cancer Institute, Imam Khomeini Hospital Complex, Tehran University of Medical Sciences, Tehran, Iran. saeedshoar@gmail.com.
3
Department of Surgery, Cancer Institute, Imam Khomeini Hospital Complex, Tehran University of Medical Sciences, Tehran, Iran.
4
Department of Emergency Medicine, Imam Khomeini Hospital Complex, Tehran University of Medical Sciences, Tehran, Iran.
5
Weight Loss Center, The Brooklyn Hospital, Brooklyn, NY, USA.
6
Department of Epidemiology and Statistics, University of Groningen, Groningen, Netherlands.
7
Department of Medicine, Shahid Beheshti Hospital, Kashan University of Medical Sciences, Kashan, Iran.

Abstract

BACKGROUND:

Obesity in pediatric and adolescent population has reached a universal pandemic. This study aimed to summarize the literature on the longest available outcome of bariatric surgery in morbidly obese adolescents.

METHODS:

A systematic review was conducted to pool available data on the longest available (>3 years) weight loss and comorbidity resolution outcome in adolescent bariatric surgery.

RESULTS:

A total of 14 studies reporting the result of bariatric surgery after 3 years in 950 morbidly obese adolescents were included. Preoperative age and BMI ranged from 12 to 19 years and from 26 to 91 kg/m2, respectively. Females were the predominant gender (72.8%). Laparoscopic roux-en-Y gastric bypass (n = 453) and adjustable gastric banding (n = 265) were the most common bariatric procedure performed. The number of patients at the latest follow-up was 677 (range from 2 to 23 years). On average, patients lost 13.3 kg/m2 of their BMI. Among comorbidities, only diabetes mellitus resolved or improved dramatically. Of 108 readmissions, 91 led to reoperation. There was a weight regain < 5 kg/m2 between 5 and 6 years of follow-up. Removal, exchange, or conversion of the previous band constituted the majority of the revisional procedures. Three deaths were reported. No long-term data was obtainable on nutritional deficiency or growth status of adolescents who underwent a bariatric procedure.

CONCLUSION:

Although bariatric surgery is a safe and effective procedure in the treatment of adolescent morbid obesity, long-term data is scarce regarding its nutritional and developmental complication in this growing population of patients.

KEYWORDS:

Adolescent; Bariatric surgery; Meta-analysis; Mid-term; Morbidly obese; Obesity; Pediatric; Systematic review

PMID:
28573535
DOI:
10.1007/s11695-017-2738-y
[Indexed for MEDLINE]

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