Abstract

META-ANALYSIS: EFFECT OF BARIATRIC SURGERIES IN OBESE ADOLESCENTS

Amir Fasial Alenaze*, Amjad Mohammed Ghandurah, Rayan Othman Alsadiqi, Shahad Mohammed Alshaqha, Houreya Mohammad ALIsmail, Fahad Abdulaziz Alharbi, Mohammed Saad Alamri, Mohammad Fahad Almazyad, Zainab Mohsen Salman Almeftah, Amer Hussain Alhamrani

Abstract

Background & Purpose: Bariatric surgical procedure is presently considered the excellent treatment choice for patients with morbid obesity that failed sustained conservative control. The Aim of this work is to provide cumulative data about the effect of bariatric surgeries in obese adolescents. Methods: A systematic search was performed of PubMed, Cochrane library Ovid, Scopus & Google scholar to identify Surgery RCTs, clinical trials, and comparative studies, which studied the outcome of Bariatric Surgeries of obese adolescents. A meta-analysis was done using fixed and random-effect methods. The main outcome was Body Mass Index (BMI) loss in each type of Bariatric Surgery. Results: A total of 9 studies were identified involving 341 patients. Regarding main measure, the fixed-effects model of the meta-analysis study showed significant increase in BMI loss in LAGB surgery patients with average BMI loss of (10) (p = 0.018). The fixed-effects model of the meta-analysis study showed highly significant increase in BMI loss in LSG surgery patients with average BMI loss of (11.1) (p < 0.001). The fixed- effects model of the meta-analysis study showed highly significant increase in BMI loss in RYGB surgery patients with average BMI loss of (16.3) (p < 0.001). Conclusion: To conclude, in this prospective study of bariatric surgery in adolescents, we found significant improvements in weight, with reduction in BMI in all alternative procedures of bariatric surgery as LGB, RYGB and LSG.

Keywords: Bariatric surgery, Obese adolescents.