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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

Shoar, S., Mahmoudzadeh, H., Naderan, M., Bagheri-Hariri, S., Wong, C., Shahabeddin Parizi, A. & Shoar, N., Dec-2017, In : Obesity Surgery. 27, 12, p. 3110-3117 8 p.

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  • Long-Term Outcome of Bariatric Surgery in Morbidly Obese Adolescents

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DOI

  • Saeed Shoar
  • Habibollah Mahmoudzadeh
  • Mohammad Naderan
  • Shahram Bagheri-Hariri
  • Catherine Wong
  • Ahmad Shahabeddin Parizi
  • Nasrin Shoar

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/m(2), 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/m(2) 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/m(2) 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.

Original languageEnglish
Pages (from-to)3110-3117
Number of pages8
JournalObesity Surgery
Volume27
Issue number12
Publication statusPublished - Dec-2017

    Keywords

  • Adolescent, Pediatric, Obesity, Morbidly obese, Bariatric surgery, Mid-term, Systematic review, Meta-analysis, GASTRIC BYPASS-SURGERY, CAUSE-SPECIFIC MORTALITY, BANDING LAGB, TRENDS, PREVALENCE, EXPERIENCE, CHILD

ID: 51952415