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Bariatric surgery for obese children and adolescents: a systematic review and meta‐analysis
Author(s) -
Black J. A.,
White B.,
Viner R. M.,
Simmons R. K.
Publication year - 2013
Publication title -
obesity reviews
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 2.845
H-Index - 162
eISSN - 1467-789X
pISSN - 1467-7881
DOI - 10.1111/obr.12037
Subject(s) - medicine , meta analysis , body mass index , sleeve gastrectomy , confidence interval , obesity , quality of life (healthcare) , childhood obesity , surgery , biliopancreatic diversion , weight loss , adjustable gastric band , gastric bypass , pediatrics , general surgery , overweight , nursing
Summary The number of obese young people continues to rise, with a corresponding increase in extreme obesity and paediatric‐adolescent bariatric surgery. We aimed to (i) systematically review the literature on bariatric surgery in children and adolescents; (ii) meta‐analyse change in body mass index ( BMI ) 1‐year post‐surgery and (iii) report complications, co‐morbidity resolution and health‐related quality of life ( HRQoL ). A systematic literature search (1955–2013) was performed to examine adjustable gastric band, sleeve gastrectomy, R oux‐en‐ Y gastric bypass or biliopancreatic diversions operations among obese children and adolescents. Change in BMI a year after surgery was meta‐analysed using a random effects model. In total, 637 patients from 23 studies were included in the meta‐analysis. There were significant decreases in BMI at 1 year (average weighted mean BMI difference: −13.5 kg m −2 ; 95% confidence interval [ CI ] −14.1 to −11.9). Complications were inconsistently reported. There was some evidence of co‐morbidity resolution and improvements in HRQol post‐surgery. Bariatric surgery leads to significant short‐term weight loss in obese children and adolescents. However, the risks of complications are not well defined in the literature. Long‐term, prospectively designed studies, with clear reporting of complications and co‐morbidity resolution, alongside measures of HRQol , are needed to firmly establish the harms and benefits of bariatric surgery in children and adolescents.