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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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