October 6, 2022

Long-term outcomes after metabolic, bariatric surgery in adolescents

By: Judy Mathias
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Editor's Note

This study led by the University of Miami Miller School of Medicine finds significant sustained reduction in weight and comorbidities as well as low rates of long-term complications 10 years or more after having metabolic and bariatric surgery as an adolescent.

A total of 96 patients (83% female, 75% Hispanic) who had metabolic and bariatric surgery at 21 years of age or younger were evaluated 10 to 18 years after surgery. Median preoperative BMI was 44.7 kg/m2. At follow-up, mean total body weight decreased by 31.3% in Roux-en-Y gastric bypass patients and 22.5%in laparoscopic adjustable gastric banding patients.

Patients with preoperative hyperlipidemia, asthma, and diabetes/hyperglycemia reported 100% remission at follow-up. Also reported were decreases in hypertension (13.5% vs 1%), sleep apnea (16.7% vs 1%), gastroesophageal reflux disease (13.5% vs 3.1%), anxiety (7.3% vs 2.1%), and depression (27.1% vs 4.2%).

The findings have important implications for adolescents who may be considering metabolic and bariatric surgery for weight reduction and improvements in health that extend into adulthood, the authors say.

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