Bariatric Surgery in Morbidly Obese Adolescents: a Systematic Review and Meta-analysis

被引：0
作者：
Givan F. Paulus
Loes E. G. de Vaan
Froukje J. Verdam
Nicole D. Bouvy
Ton A. W. Ambergen
L. W. Ernest van Heurn
机构：
[1] Maastricht University Medical Center,Department of Surgery
[2] and Nutrition and Toxicology Research Institute (NUTRIM),Department of Methodology and Statistics
[3] Maastricht University,Department of Otolaryngology
[4] University Medical Centre Utrecht,undefined
来源：
Obesity Surgery | 2015年 / 25卷
关键词：
Adolescents; RYGB; LAGB; LSG; Bariatric surgery; Meta-analysis; Review; Weight loss; Quality of life;
D O I：
暂无
中图分类号：
学科分类号：
摘要：
Pubmed, Embase, and Cochrane were systematically reviewed for available evidence on bariatric surgery in adolescents. Thirty-seven included studies evaluated the effect of laparoscopic adjustable gastric banding (LAGB), Roux-en-Y gastric bypass (RYGB), or laparoscopic sleeve gastrectomy (LSG) in patients ≤18 years old. Fifteen of 37 studies were prospective, including one RCT. Mean body mass index (BMI) loss after LAGB was 11.6 kg/m2 (95 % CI 9.8–13.4), versus 16.6 kg/m2 (95 % CI 13.4–19.8) after RYGB and 14.1 kg/m2 (95 % CI 10.8–17.5) after LSG. Two unrelated deaths were reported after 495 RYGB procedures. All three bariatric procedures result in substantial weight loss and improvement of comorbidity with an acceptable complication rate, indicating that surgical intervention is applicable in appropriately selected morbidly obese adolescents.
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页码：860 / 878
页数：18
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