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

G.F. Paulus*, L.E.G. de Vaan, F.J. Verdam, N.D. Bouvy, T.A.W. Ambergen, L.W.E. van Heurn

*Corresponding author for this work

Research output: Contribution to journalArticleAcademicpeer-review


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 a parts per thousand currency sign18 years old. Fifteen of 37 studies were prospective, including one RCT. Mean body mass index (BMI) loss after LAGB was 11.6 kg/m(2) (95 % CI 9.8-13.4), versus 16.6 kg/m(2) (95 % CI 13.4-19.8) after RYGB and 14.1 kg/m(2) (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.
Original languageEnglish
Pages (from-to)860-878
JournalObesity Surgery
Issue number5
Publication statusPublished - 1 Jan 2015

Cite this