Longitudinal outcomes in adolescents after referral for metabolic and bariatric surgery
Journal of Pediatric Gastroenterology Nov 25, 2021
Qureshi FG, Wiegand JG, O’Neill G, et al. - Researchers compared outcomes for adolescents that did and did not proceed to metabolic and bariatric surgery (MBS) for severe obesity.
Researchers conducted a single-center longitudinal study (2015–2020) identifying 352 adolescents referred for surgery (mean age: 15.6% ± 1.4; 69% girls; 38% Hispanic; 78% with noncommercial insurance).
The median baseline weight was 135 kg and BMI was 48 kg/m2; BMI > 50 was recorded in 42% of adolescents.
LSG (laparoscopic sleeve gastrectomy) was conducted on 79 adolescents (22%) whereas MBS was not completed in 273 (78%) primarily because of lack of interest.
Overall only a minority (22%) of adolescents referred for MBS proceeded to surgery, despite the demonstrated efficacy and safety of the procedure in adolescence.
Weight gain continued in those that did not undergo surgery.
The LSG group showed improvement in obesity-associated conditions.
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