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

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Abstract

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/m2. 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.

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Data availability

This is a review article based on published data from other articles.

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Authors and Affiliations

  1. Department of Pediatric Surgery, Prince Sultan Military Medical City, Riyadh, 11159, Saudi Arabia

    Mohammed T. Al-Mohaidly

  2. Scientific Research Center, Medical Service Department (MSD), Ministry of Defence, Riyadh, Saudi Arabia

    Abdulrahman K. Al-Asmari

  3. Department of Biochemistry, College of Science, King Saud University, Riyadh, 11451, Saudi Arabia

    Haseeb A. Khan

  4. College of Medicine, Imam Mohammad Ibn Saud Islamic University, Riyadh, Saudi Arabia

    Ayshah S. Alshngeetee, Ghadah O. Al-Hussain, Sarah S. Alsalem, Aishah M. Babtain, Ebtihaj A. Aljorfi, Hend A. Alshumiesy & Mashael A. Aluraifej

  5. Rohilkhand Medical College and Hospital, Bareilly, 243006, India

    Isra Khan

  6. Shaqra General Hospital, Ministry of Health (MOH), Shaqra, 15562, Saudi Arabia

    Yaser A. Al-Asmari

  7. Intigeral Institute of Medical Sciences and Research, Lucknow, 226026, India

    Ayaat Khan

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  1. Mohammed T. Al-Mohaidly
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Contributions

MTA and AKA conceptualized the study; ASA, IK, YAA, GOA, SSA, AK, AMB, EAA, HAA and MAA did the literature survey and collected data; MTA, HAK, AKA, ASA and GOA analyzed the data; MTA and HAK wrote the manuscript. All authors reviewed the manuscript.

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Correspondence to Mohammed T. Al-Mohaidly.

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Al-Mohaidly, M.T., Al-Asmari, A.K., Khan, H.A. et al. Laparoscopic sleeve gastrectomy for obesity treatment in adolescents and young adults: a systematic review and meta-analysis. Langenbecks Arch Surg 408, 158 (2023). https://doi.org/10.1007/s00423-023-02894-5

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