Long-Term Results of Bariatric Surgery in Adolescents with at Least 5 Years of Follow-up: a Systematic Review and Meta-Analysis
Objects The purpose of this study was to investigate the long-term outcomes of bariatric surgery in adolescents with obesity by including studies with a follow-up of at least 5 years. Methods PubMed, EMBASE, and CENTRAL were systematically searched. Studies that met the criteria were included in the...
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| Veröffentlicht in: | Obesity surgery 2023-06, Vol.33 (6), p.1730-1745 |
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| creator | Wu, Zhenpeng Gao, Zhiguang Qiao, Yuhan Chen, Fazhi Guan, Bingsheng Wu, Lina Cheng, Lvjia Huang, Shifang Yang, Jingge |
| description | Objects
The purpose of this study was to investigate the long-term outcomes of bariatric surgery in adolescents with obesity by including studies with a follow-up of at least 5 years.
Methods
PubMed, EMBASE, and CENTRAL were systematically searched. Studies that met the criteria were included in the analysis.
Result
We identified 29 cohort studies with a total population of 4970. Preoperative age ranged from 12 to 21 years; body mass index (BMI) ranged from 38.9 to 58.5 kg/m
2
. Females were the predominant gender (60.3%). After at least 5-year of follow-up, the pooled BMI decline was 13.09 kg/m
2
(95%CI 11.75–14.43), with sleeve gastrectomy (SG) was 15.27 kg/m
2
, Roux-en-Y gastric bypass (RYGB) was 12.86 kg/m
2
, and adjustable gastric banding (AGB) was 7.64 kg/m
2
. The combined remission rates of type 2 diabetes mellitus (T2DM), dyslipidemia, hypertension (HTN), obstructive sleep apnea (OSA), and asthma were 90.0%, 76.6%, 80.7%, 80.8%, and 92.5%, (95%CI 83.2–95.6, 62.0–88.9, 71.5–88.8, 36.4–100, and 48.5–100), respectively. Postoperative complications were underreported. Combined with the current study, we found a low level of postoperative complications. Iron and vitamin B12 deficiencies were the main nutritional deficiency complications identified so far.
Conclusion
For adolescents with severe obesity, bariatric surgery (especially RYGB and SG) is the independent and effective treatment option. After at least 5 years of follow-up, bariatric surgery in adolescents showed a desirable reduction in BMI and significant remission of T2DM, dyslipidemia, and HTN. Surgical and nutrition-related complications still need to be further explored by more long-term studies.
Graphical Abstract |
| doi_str_mv | 10.1007/s11695-023-06593-4 |
| format | Article |
| fullrecord | <record><control><sourceid>proquest_cross</sourceid><recordid>TN_cdi_proquest_miscellaneous_2807922285</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>2821499878</sourcerecordid><originalsourceid>FETCH-LOGICAL-c375t-e703870bb02ab6a4aa375320361f5ef8728ee29b3940d8f46bbc826532c50f5c3</originalsourceid><addsrcrecordid>eNp9kc1u1DAUhS0EotPCC7BAltiwcbm245-wm1b9QRqE1JYFK8vJ3JRUSTzYDqNZ9dVxOwUkFqws2d85vvZHyBsOxxzAfEic61oxEJKBVrVk1TOy4AYsg0rY52QBtQZmayEPyGFKdwCCayFekgNpOFcV1wtyvwrTLbvBONIrTPOQEw0dPfGx9zn2Lb2e4y3GHe0nulyHAVOLU2G2ff5OfaYr9ClTRb-hj4_J8zAMYcvmzUfq6fUuZRx9Lj1X-LPHLfXTmn7G7Nly8sMu9ekVedH5IeHrp_WIfD0_uzm9ZKsvF59OlyvWSqMyQwPSGmgaEL7RvvK-bEsBUvNOYWeNsIiibmRdwdp2lW6a1gpdkFZBp1p5RN7vezcx_JgxZTf25S3D4CcMc3LCgqmFEFYV9N0_6F2YY5n3gRK8qmtrbKHEnmpjSCli5zaxH33cOQ7uQY_b63FFj3vU46oSevtUPTcjrv9EfvsogNwDqRxN5ef_3v2f2l8cv5m8</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>2821499878</pqid></control><display><type>article</type><title>Long-Term Results of Bariatric Surgery in Adolescents with at Least 5 Years of Follow-up: a Systematic Review and Meta-Analysis</title><source>MEDLINE</source><source>Springer Nature - Complete Springer Journals</source><creator>Wu, Zhenpeng ; Gao, Zhiguang ; Qiao, Yuhan ; Chen, Fazhi ; Guan, Bingsheng ; Wu, Lina ; Cheng, Lvjia ; Huang, Shifang ; Yang, Jingge</creator><creatorcontrib>Wu, Zhenpeng ; Gao, Zhiguang ; Qiao, Yuhan ; Chen, Fazhi ; Guan, Bingsheng ; Wu, Lina ; Cheng, Lvjia ; Huang, Shifang ; Yang, Jingge</creatorcontrib><description>Objects
The purpose of this study was to investigate the long-term outcomes of bariatric surgery in adolescents with obesity by including studies with a follow-up of at least 5 years.
Methods
PubMed, EMBASE, and CENTRAL were systematically searched. Studies that met the criteria were included in the analysis.
Result
We identified 29 cohort studies with a total population of 4970. Preoperative age ranged from 12 to 21 years; body mass index (BMI) ranged from 38.9 to 58.5 kg/m
2
. Females were the predominant gender (60.3%). After at least 5-year of follow-up, the pooled BMI decline was 13.09 kg/m
2
(95%CI 11.75–14.43), with sleeve gastrectomy (SG) was 15.27 kg/m
2
, Roux-en-Y gastric bypass (RYGB) was 12.86 kg/m
2
, and adjustable gastric banding (AGB) was 7.64 kg/m
2
. The combined remission rates of type 2 diabetes mellitus (T2DM), dyslipidemia, hypertension (HTN), obstructive sleep apnea (OSA), and asthma were 90.0%, 76.6%, 80.7%, 80.8%, and 92.5%, (95%CI 83.2–95.6, 62.0–88.9, 71.5–88.8, 36.4–100, and 48.5–100), respectively. Postoperative complications were underreported. Combined with the current study, we found a low level of postoperative complications. Iron and vitamin B12 deficiencies were the main nutritional deficiency complications identified so far.
Conclusion
For adolescents with severe obesity, bariatric surgery (especially RYGB and SG) is the independent and effective treatment option. After at least 5 years of follow-up, bariatric surgery in adolescents showed a desirable reduction in BMI and significant remission of T2DM, dyslipidemia, and HTN. Surgical and nutrition-related complications still need to be further explored by more long-term studies.
Graphical Abstract</description><identifier>ISSN: 0960-8923</identifier><identifier>EISSN: 1708-0428</identifier><identifier>DOI: 10.1007/s11695-023-06593-4</identifier><identifier>PMID: 37115416</identifier><language>eng</language><publisher>New York: Springer US</publisher><subject>Adolescent ; Adult ; Bariatric Surgery ; Body mass index ; Child ; Diabetes Mellitus, Type 2 - surgery ; Dyslipidemias - complications ; Female ; Gastrectomy - methods ; Gastric Bypass - methods ; Gastrointestinal surgery ; Humans ; Hypertension - surgery ; Medicine ; Medicine & Public Health ; Meta-analysis ; Metabolic disorders ; Obesity - surgery ; Obesity, Morbid - surgery ; Original Contributions ; Postoperative Complications - surgery ; Retrospective Studies ; Surgery ; Systematic review ; Teenagers ; Treatment Outcome ; Weight Loss ; Young Adult</subject><ispartof>Obesity surgery, 2023-06, Vol.33 (6), p.1730-1745</ispartof><rights>The Author(s), under exclusive licence to Springer Science+Business Media, LLC, part of Springer Nature 2023. Springer Nature or its licensor (e.g. a society or other partner) holds exclusive rights to this article under a publishing agreement with the author(s) or other rightsholder(s); author self-archiving of the accepted manuscript version of this article is solely governed by the terms of such publishing agreement and applicable law.</rights><rights>2023. The Author(s), under exclusive licence to Springer Science+Business Media, LLC, part of Springer Nature.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c375t-e703870bb02ab6a4aa375320361f5ef8728ee29b3940d8f46bbc826532c50f5c3</citedby><cites>FETCH-LOGICAL-c375t-e703870bb02ab6a4aa375320361f5ef8728ee29b3940d8f46bbc826532c50f5c3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://link.springer.com/content/pdf/10.1007/s11695-023-06593-4$$EPDF$$P50$$Gspringer$$H</linktopdf><linktohtml>$$Uhttps://link.springer.com/10.1007/s11695-023-06593-4$$EHTML$$P50$$Gspringer$$H</linktohtml><link.rule.ids>314,776,780,27903,27904,41467,42536,51298</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/37115416$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Wu, Zhenpeng</creatorcontrib><creatorcontrib>Gao, Zhiguang</creatorcontrib><creatorcontrib>Qiao, Yuhan</creatorcontrib><creatorcontrib>Chen, Fazhi</creatorcontrib><creatorcontrib>Guan, Bingsheng</creatorcontrib><creatorcontrib>Wu, Lina</creatorcontrib><creatorcontrib>Cheng, Lvjia</creatorcontrib><creatorcontrib>Huang, Shifang</creatorcontrib><creatorcontrib>Yang, Jingge</creatorcontrib><title>Long-Term Results of Bariatric Surgery in Adolescents with at Least 5 Years of Follow-up: a Systematic Review and Meta-Analysis</title><title>Obesity surgery</title><addtitle>OBES SURG</addtitle><addtitle>Obes Surg</addtitle><description>Objects
The purpose of this study was to investigate the long-term outcomes of bariatric surgery in adolescents with obesity by including studies with a follow-up of at least 5 years.
Methods
PubMed, EMBASE, and CENTRAL were systematically searched. Studies that met the criteria were included in the analysis.
Result
We identified 29 cohort studies with a total population of 4970. Preoperative age ranged from 12 to 21 years; body mass index (BMI) ranged from 38.9 to 58.5 kg/m
2
. Females were the predominant gender (60.3%). After at least 5-year of follow-up, the pooled BMI decline was 13.09 kg/m
2
(95%CI 11.75–14.43), with sleeve gastrectomy (SG) was 15.27 kg/m
2
, Roux-en-Y gastric bypass (RYGB) was 12.86 kg/m
2
, and adjustable gastric banding (AGB) was 7.64 kg/m
2
. The combined remission rates of type 2 diabetes mellitus (T2DM), dyslipidemia, hypertension (HTN), obstructive sleep apnea (OSA), and asthma were 90.0%, 76.6%, 80.7%, 80.8%, and 92.5%, (95%CI 83.2–95.6, 62.0–88.9, 71.5–88.8, 36.4–100, and 48.5–100), respectively. Postoperative complications were underreported. Combined with the current study, we found a low level of postoperative complications. Iron and vitamin B12 deficiencies were the main nutritional deficiency complications identified so far.
Conclusion
For adolescents with severe obesity, bariatric surgery (especially RYGB and SG) is the independent and effective treatment option. After at least 5 years of follow-up, bariatric surgery in adolescents showed a desirable reduction in BMI and significant remission of T2DM, dyslipidemia, and HTN. Surgical and nutrition-related complications still need to be further explored by more long-term studies.
Graphical Abstract</description><subject>Adolescent</subject><subject>Adult</subject><subject>Bariatric Surgery</subject><subject>Body mass index</subject><subject>Child</subject><subject>Diabetes Mellitus, Type 2 - surgery</subject><subject>Dyslipidemias - complications</subject><subject>Female</subject><subject>Gastrectomy - methods</subject><subject>Gastric Bypass - methods</subject><subject>Gastrointestinal surgery</subject><subject>Humans</subject><subject>Hypertension - surgery</subject><subject>Medicine</subject><subject>Medicine & Public Health</subject><subject>Meta-analysis</subject><subject>Metabolic disorders</subject><subject>Obesity - surgery</subject><subject>Obesity, Morbid - surgery</subject><subject>Original Contributions</subject><subject>Postoperative Complications - surgery</subject><subject>Retrospective Studies</subject><subject>Surgery</subject><subject>Systematic review</subject><subject>Teenagers</subject><subject>Treatment Outcome</subject><subject>Weight Loss</subject><subject>Young Adult</subject><issn>0960-8923</issn><issn>1708-0428</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2023</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><recordid>eNp9kc1u1DAUhS0EotPCC7BAltiwcbm245-wm1b9QRqE1JYFK8vJ3JRUSTzYDqNZ9dVxOwUkFqws2d85vvZHyBsOxxzAfEic61oxEJKBVrVk1TOy4AYsg0rY52QBtQZmayEPyGFKdwCCayFekgNpOFcV1wtyvwrTLbvBONIrTPOQEw0dPfGx9zn2Lb2e4y3GHe0nulyHAVOLU2G2ff5OfaYr9ClTRb-hj4_J8zAMYcvmzUfq6fUuZRx9Lj1X-LPHLfXTmn7G7Nly8sMu9ekVedH5IeHrp_WIfD0_uzm9ZKsvF59OlyvWSqMyQwPSGmgaEL7RvvK-bEsBUvNOYWeNsIiibmRdwdp2lW6a1gpdkFZBp1p5RN7vezcx_JgxZTf25S3D4CcMc3LCgqmFEFYV9N0_6F2YY5n3gRK8qmtrbKHEnmpjSCli5zaxH33cOQ7uQY_b63FFj3vU46oSevtUPTcjrv9EfvsogNwDqRxN5ef_3v2f2l8cv5m8</recordid><startdate>20230601</startdate><enddate>20230601</enddate><creator>Wu, Zhenpeng</creator><creator>Gao, Zhiguang</creator><creator>Qiao, Yuhan</creator><creator>Chen, Fazhi</creator><creator>Guan, Bingsheng</creator><creator>Wu, Lina</creator><creator>Cheng, Lvjia</creator><creator>Huang, Shifang</creator><creator>Yang, Jingge</creator><general>Springer US</general><general>Springer Nature B.V</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8AO</scope><scope>8C1</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>K9.</scope><scope>M0S</scope><scope>M1P</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>7X8</scope></search><sort><creationdate>20230601</creationdate><title>Long-Term Results of Bariatric Surgery in Adolescents with at Least 5 Years of Follow-up: a Systematic Review and Meta-Analysis</title><author>Wu, Zhenpeng ; Gao, Zhiguang ; Qiao, Yuhan ; Chen, Fazhi ; Guan, Bingsheng ; Wu, Lina ; Cheng, Lvjia ; Huang, Shifang ; Yang, Jingge</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c375t-e703870bb02ab6a4aa375320361f5ef8728ee29b3940d8f46bbc826532c50f5c3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2023</creationdate><topic>Adolescent</topic><topic>Adult</topic><topic>Bariatric Surgery</topic><topic>Body mass index</topic><topic>Child</topic><topic>Diabetes Mellitus, Type 2 - surgery</topic><topic>Dyslipidemias - complications</topic><topic>Female</topic><topic>Gastrectomy - methods</topic><topic>Gastric Bypass - methods</topic><topic>Gastrointestinal surgery</topic><topic>Humans</topic><topic>Hypertension - surgery</topic><topic>Medicine</topic><topic>Medicine & Public Health</topic><topic>Meta-analysis</topic><topic>Metabolic disorders</topic><topic>Obesity - surgery</topic><topic>Obesity, Morbid - surgery</topic><topic>Original Contributions</topic><topic>Postoperative Complications - surgery</topic><topic>Retrospective Studies</topic><topic>Surgery</topic><topic>Systematic review</topic><topic>Teenagers</topic><topic>Treatment Outcome</topic><topic>Weight Loss</topic><topic>Young Adult</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Wu, Zhenpeng</creatorcontrib><creatorcontrib>Gao, Zhiguang</creatorcontrib><creatorcontrib>Qiao, Yuhan</creatorcontrib><creatorcontrib>Chen, Fazhi</creatorcontrib><creatorcontrib>Guan, Bingsheng</creatorcontrib><creatorcontrib>Wu, Lina</creatorcontrib><creatorcontrib>Cheng, Lvjia</creatorcontrib><creatorcontrib>Huang, Shifang</creatorcontrib><creatorcontrib>Yang, Jingge</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>ProQuest Pharma Collection</collection><collection>Public Health Database</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>ProQuest Central</collection><collection>ProQuest One Community College</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Medical Database</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>MEDLINE - Academic</collection><jtitle>Obesity surgery</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Wu, Zhenpeng</au><au>Gao, Zhiguang</au><au>Qiao, Yuhan</au><au>Chen, Fazhi</au><au>Guan, Bingsheng</au><au>Wu, Lina</au><au>Cheng, Lvjia</au><au>Huang, Shifang</au><au>Yang, Jingge</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Long-Term Results of Bariatric Surgery in Adolescents with at Least 5 Years of Follow-up: a Systematic Review and Meta-Analysis</atitle><jtitle>Obesity surgery</jtitle><stitle>OBES SURG</stitle><addtitle>Obes Surg</addtitle><date>2023-06-01</date><risdate>2023</risdate><volume>33</volume><issue>6</issue><spage>1730</spage><epage>1745</epage><pages>1730-1745</pages><issn>0960-8923</issn><eissn>1708-0428</eissn><abstract>Objects
The purpose of this study was to investigate the long-term outcomes of bariatric surgery in adolescents with obesity by including studies with a follow-up of at least 5 years.
Methods
PubMed, EMBASE, and CENTRAL were systematically searched. Studies that met the criteria were included in the analysis.
Result
We identified 29 cohort studies with a total population of 4970. Preoperative age ranged from 12 to 21 years; body mass index (BMI) ranged from 38.9 to 58.5 kg/m
2
. Females were the predominant gender (60.3%). After at least 5-year of follow-up, the pooled BMI decline was 13.09 kg/m
2
(95%CI 11.75–14.43), with sleeve gastrectomy (SG) was 15.27 kg/m
2
, Roux-en-Y gastric bypass (RYGB) was 12.86 kg/m
2
, and adjustable gastric banding (AGB) was 7.64 kg/m
2
. The combined remission rates of type 2 diabetes mellitus (T2DM), dyslipidemia, hypertension (HTN), obstructive sleep apnea (OSA), and asthma were 90.0%, 76.6%, 80.7%, 80.8%, and 92.5%, (95%CI 83.2–95.6, 62.0–88.9, 71.5–88.8, 36.4–100, and 48.5–100), respectively. Postoperative complications were underreported. Combined with the current study, we found a low level of postoperative complications. Iron and vitamin B12 deficiencies were the main nutritional deficiency complications identified so far.
Conclusion
For adolescents with severe obesity, bariatric surgery (especially RYGB and SG) is the independent and effective treatment option. After at least 5 years of follow-up, bariatric surgery in adolescents showed a desirable reduction in BMI and significant remission of T2DM, dyslipidemia, and HTN. Surgical and nutrition-related complications still need to be further explored by more long-term studies.
Graphical Abstract</abstract><cop>New York</cop><pub>Springer US</pub><pmid>37115416</pmid><doi>10.1007/s11695-023-06593-4</doi><tpages>16</tpages></addata></record> |
| fulltext | fulltext |
| identifier | ISSN: 0960-8923 |
| ispartof | Obesity surgery, 2023-06, Vol.33 (6), p.1730-1745 |
| issn | 0960-8923 1708-0428 |
| language | eng |
| recordid | cdi_proquest_miscellaneous_2807922285 |
| source | MEDLINE; Springer Nature - Complete Springer Journals |
| subjects | Adolescent Adult Bariatric Surgery Body mass index Child Diabetes Mellitus, Type 2 - surgery Dyslipidemias - complications Female Gastrectomy - methods Gastric Bypass - methods Gastrointestinal surgery Humans Hypertension - surgery Medicine Medicine & Public Health Meta-analysis Metabolic disorders Obesity - surgery Obesity, Morbid - surgery Original Contributions Postoperative Complications - surgery Retrospective Studies Surgery Systematic review Teenagers Treatment Outcome Weight Loss Young Adult |
| title | Long-Term Results of Bariatric Surgery in Adolescents with at Least 5 Years of Follow-up: a Systematic Review and Meta-Analysis |
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