Laparoscopic sleeve gastrectomy for obesity treatment in adolescents and young adults: a systematic review and meta-analysis

Background The incidence of obesity has been increasing in younger population, posing a significant impact on adolescents’ life and health care system worldwide. Methods We critically analyzed the existing literature on the use of laparoscopic sleeve gastrectomy (LSG) for the treatment of obesity. W...

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Published in:Langenbeck's archives of surgery 2023-04, Vol.408 (1), p.158-158, Article 158
Main Authors: Al-Mohaidly, Mohammed T., Al-Asmari, Abdulrahman K., Khan, Haseeb A., Alshngeetee, Ayshah S., Khan, Isra, Al-Asmari, Yaser A., Al-Hussain, Ghadah O., Alsalem, Sarah S., Khan, Ayaat, Babtain, Aishah M., Aljorfi, Ebtihaj A., Alshumiesy, Hend A., Aluraifej, Mashael A.
Format: Article
Language:English
Subjects:
Abdominal Surgery
Adolescent
Body Mass Index
Cardiac Surgery
Gastrectomy - adverse effects
General Surgery
Humans
Laparoscopy - adverse effects
Medicine
Medicine & Public Health
Obesity - complications
Obesity, Morbid - surgery
Retrospective Studies
Review
Sleep Apnea, Obstructive - complications
Sleep Apnea, Obstructive - surgery
Thoracic Surgery
Traumatic Surgery
Treatment Outcome
Vascular Surgery
Young Adult
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Summary:Background The incidence of obesity has been increasing in younger population, posing a significant impact on adolescents’ life and health care system worldwide. Methods We critically analyzed the existing literature on the use of laparoscopic sleeve gastrectomy (LSG) for the treatment of obesity. We performed an in-depth evaluation of 37 studies and analyzed the effect of LSG in 2300 patients, aged ≤ 22 years. Results Mean body mass index (BMI) loss after LSG was 17.81 kg/m 2 . Gastroesophageal reflux was the most common complication. Most of the patients showed remission of comorbidities including hypertension, diabetes, and obstructive sleep apnea after LSG. Conclusions These findings suggest that surgical intervention is highly beneficial for reducing BMI in appropriately selected adolescents and young adults suffering from obesity and comorbidities such as life-threatening obstructive sleep apnea.
ISSN:1435-2451
1435-2451
DOI:10.1007/s00423-023-02894-5