التفاصيل البيبلوغرافية
| العنوان: |
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. |
| المؤلفون: |
Shoar, Saeed, Mahmoudzadeh, Habibollah, Naderan, Mohammad, Bagheri-Hariri, Shahram, Wong, Catherine, Parizi, Ahmad, Shoar, Nasrin |
| المصدر: |
Obesity Surgery; Dec2017, Vol. 27 Issue 12, p3110-3117, 8p |
| مصطلحات موضوعية: |
BARIATRIC surgery, TREATMENT of childhood obesity, META-analysis, DATA, BODY mass index |
| مستخلص: |
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, 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 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 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. [ABSTRACT FROM AUTHOR] |
|
Copyright of Obesity Surgery is the property of Springer Nature and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.) |
| قاعدة البيانات: |
Complementary Index |