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

Autor: Al-Mohaidly MT; Department of Pediatric Surgery, Prince Sultan Military Medical City, Riyadh, 11159, Saudi Arabia. trahib40@gmail.com., Al-Asmari AK; Scientific Research Center, Medical Service Department (MSD), Ministry of Defence, Riyadh, Saudi Arabia., Khan HA; Department of Biochemistry, College of Science, King Saud University, Riyadh, 11451, Saudi Arabia., Alshngeetee AS; College of Medicine, Imam Mohammad Ibn Saud Islamic University, Riyadh, Saudi Arabia., Khan I; Rohilkhand Medical College and Hospital, Bareilly, 243006, India., Al-Asmari YA; Shaqra General Hospital, Ministry of Health (MOH), Shaqra, 15562, Saudi Arabia., Al-Hussain GO; College of Medicine, Imam Mohammad Ibn Saud Islamic University, Riyadh, Saudi Arabia., Alsalem SS; College of Medicine, Imam Mohammad Ibn Saud Islamic University, Riyadh, Saudi Arabia., Khan A; Intigeral Institute of Medical Sciences and Research, Lucknow, 226026, India., Babtain AM; College of Medicine, Imam Mohammad Ibn Saud Islamic University, Riyadh, Saudi Arabia., Aljorfi EA; College of Medicine, Imam Mohammad Ibn Saud Islamic University, Riyadh, Saudi Arabia., Alshumiesy HA; College of Medicine, Imam Mohammad Ibn Saud Islamic University, Riyadh, Saudi Arabia., Aluraifej MA; College of Medicine, Imam Mohammad Ibn Saud Islamic University, Riyadh, Saudi Arabia.
Jazyk: angličtina
Zdroj: Langenbeck's archives of surgery [Langenbecks Arch Surg] 2023 Apr 24; Vol. 408 (1), pp. 158. Date of Electronic Publication: 2023 Apr 24.
DOI: 10.1007/s00423-023-02894-5
Abstrakt: 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.
(© 2023. The Author(s), under exclusive licence to Springer-Verlag GmbH Germany, part of Springer Nature.)
Databáze: MEDLINE
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