Outcomes of bariatric surgery in Adolescents: A meta-analysis comparing three surgical techniques

IF 2.7 3区医学 Q1 SURGERY

American journal of surgery Pub Date : 2025-04-18 DOI:10.1016/j.amjsurg.2025.116354

Warda Ahmed , Kinza Jawed , Kashmala Hussain , Mehak Barolia , Syeda Sakina Mehdi , Aymen Ahmed , Russell Seth Martins , Faisal Ghulam Qureshi

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Abstract

Metabolic and bariatric surgery (MBS) is used for managing obesity. Herein, we conducted the first meta-analysis directly comparing the three most performed MBS procedures among adolescents. Fourteen studies, comprising 13,994 patients, and comparing outcomes between at least two of laparoscopic gastric bypass (RYGB), laparoscopic sleeve gastrectomy (SG), and laparoscopic adjustable gastric banding (AGB) in adolescents (age ≤21 years), were included. On subgroup analyses, SG (MD: −15.95 kg; −13.76 %) and RYGB (MD: −23.86 kg; −11.36 %) demonstrated a significantly greater absolute change in weight and percentage change in BMI than AGB, respectively. RYGB demonstrated a significantly greater absolute (MD: −1.68 kg/m) and percentage change in BMI (MD: −3.01 %) than SG. However, it was associated with a greater risk of post-operative complications than both SG (RR: 2.09) and AGB (RR: 3.51). Our meta-analysis shows that while RYGB is the most effective bariatric procedure for weight loss in adolescents, SG is much safer.

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青少年减肥手术的结果：比较三种手术技术的荟萃分析

代谢和减肥手术（MBS）用于控制肥胖。在此，我们进行了第一次meta分析，直接比较了青少年中最常用的三种MBS手术。纳入了14项研究，包括13994名患者，并比较了至少两种腹腔镜胃旁路（RYGB），腹腔镜袖胃切除术（SG）和腹腔镜可调节胃束带（AGB）在青少年（年龄≤21岁）中的结果。亚组分析，SG (MD:−15.95 kg；- 13.76%)和RYGB (MD: - 23.86 kg；−11.36%)的体重绝对变化和BMI百分比变化分别明显大于AGB。与SG相比，RYGB表现出更大的绝对（MD: - 1.68 kg/m）和BMI百分比变化（MD: - 3.01%）。然而，与SG （RR: 2.09）和AGB （RR: 3.51）相比，它与术后并发症的风险更高。我们的荟萃分析显示，虽然RYGB是青少年减肥最有效的减肥方法，但SG更安全。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

American journal of surgery 医学-外科

CiteScore

5.00

自引率

6.70%

发文量

570

审稿时长

56 days

期刊介绍： The American Journal of Surgery® is a peer-reviewed journal designed for the general surgeon who performs abdominal, cancer, vascular, head and neck, breast, colorectal, and other forms of surgery. AJS is the official journal of 7 major surgical societies* and publishes their official papers as well as independently submitted clinical studies, editorials, reviews, brief reports, correspondence and book reviews.