TY - JOUR
T1 - Outcomes of bariatric surgery in Adolescents
T2 - A meta-analysis comparing three surgical techniques
AU - Ahmed, Warda
AU - Jawed, Kinza
AU - Hussain, Kashmala
AU - Barolia, Mehak
AU - Mehdi, Syeda Sakina
AU - Ahmed, Aymen
AU - Martins, Russell Seth
AU - Qureshi, Faisal Ghulam
N1 - Publisher Copyright:
© 2025
PY - 2025/7
Y1 - 2025/7
N2 - Metabolic and bariatric surgery (MBS) is used for managing obesity. Herein, we conducted the first meta-analysis directly comparing the three most performed MBS procedures among adolescents. Fourteen studies, comprising 13,994 patients, and comparing outcomes between at least two of laparoscopic gastric bypass (RYGB), laparoscopic sleeve gastrectomy (SG), and laparoscopic adjustable gastric banding (AGB) in adolescents (age ≤21 years), were included. On subgroup analyses, SG (MD: −15.95 kg; −13.76 %) and RYGB (MD: −23.86 kg; −11.36 %) demonstrated a significantly greater absolute change in weight and percentage change in BMI than AGB, respectively. RYGB demonstrated a significantly greater absolute (MD: −1.68 kg/m) and percentage change in BMI (MD: −3.01 %) than SG. However, it was associated with a greater risk of post-operative complications than both SG (RR: 2.09) and AGB (RR: 3.51). Our meta-analysis shows that while RYGB is the most effective bariatric procedure for weight loss in adolescents, SG is much safer.
AB - Metabolic and bariatric surgery (MBS) is used for managing obesity. Herein, we conducted the first meta-analysis directly comparing the three most performed MBS procedures among adolescents. Fourteen studies, comprising 13,994 patients, and comparing outcomes between at least two of laparoscopic gastric bypass (RYGB), laparoscopic sleeve gastrectomy (SG), and laparoscopic adjustable gastric banding (AGB) in adolescents (age ≤21 years), were included. On subgroup analyses, SG (MD: −15.95 kg; −13.76 %) and RYGB (MD: −23.86 kg; −11.36 %) demonstrated a significantly greater absolute change in weight and percentage change in BMI than AGB, respectively. RYGB demonstrated a significantly greater absolute (MD: −1.68 kg/m) and percentage change in BMI (MD: −3.01 %) than SG. However, it was associated with a greater risk of post-operative complications than both SG (RR: 2.09) and AGB (RR: 3.51). Our meta-analysis shows that while RYGB is the most effective bariatric procedure for weight loss in adolescents, SG is much safer.
KW - Adjustable gastric band
KW - Adolescents
KW - Bariatric surgery
KW - Gastric bypass
KW - Metabolic and bariatric surgery (MBS)
KW - Sleeve gastrectomy
UR - https://www.scopus.com/pages/publications/105003285454
U2 - 10.1016/j.amjsurg.2025.116354
DO - 10.1016/j.amjsurg.2025.116354
M3 - Review article
AN - SCOPUS:105003285454
SN - 0002-9610
VL - 245
JO - American Journal of Surgery
JF - American Journal of Surgery
M1 - 116354
ER -
