Evidence mapPaperPMID 34072065Full record

ReviewChildren (Basel, Switzerland)2021

Bariatric Surgery in Adolescents: To Do or Not to Do?

Valeria Calcaterra, Hellas Cena, Gloria Pelizzo, Debora Porri, Corrado Regalbuto, Federica Vinci, Francesca Destro, Elettra Vestri, Elvira Verduci, Alessandra Bosetti and 2 more

Abstract readReview
In one paragraph

Review in Children (Basel, Switzerland), 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers.

0numbers the graph read from it
0cells of the map it votes in
19citing papers in PubMed
field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

19 citing papers in PubMed.

  1. Article
  2. Efficacy and safety of glucagon-like peptide-1 (GLP-1) agonists in pediatric obesity: A systematic review and meta-analysis.Saudi journal of gastroenterology : official journal of the Saudi Gastroenterology Association · 2026
    Article
  3. Review
  4. Review
  5. Mental health outcomes in bariatric surgery patients in Saudi Arabia: A scoping review.Saudi journal of gastroenterology : official journal of the Saudi Gastroenterology Association · 2025
    Article
  6. Review
  7. Article
  8. Article
  9. Article
  10. Ethics of Bariatric Surgery in Adolescence and Its Implications for Clinical Practice.International journal of environmental research and public health · 2023
    Review
  11. Bariatric Surgery: Psychosocial Aspects and Quality of Life.International journal of environmental research and public health · 2022
    Article
  12. Article
  13. Review
  14. Article
  15. Review
  16. Article
  17. Safety and efficacy of roux-en-y gastric bypass in older aged patients.Revista do Colegio Brasileiro de Cirurgioes · 2022
    Article
  18. Review
  19. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

12 authors.

Valeria CalcaterraPediatric and Adolescent Unit, Department of Internal Medicine, University of Pavia, 27100 Pavia, Italy.ORCID 0000-0002-2137-5974
Hellas CenaClinical Nutrition and Dietetics Service, Unit of Internal Medicine and Endocrinology, ICS Maugeri IRCCS, 27100 Pavia, Italy.ORCID 0000-0002-5752-6199
Gloria PelizzoPediatric Surgery Department, "V. Buzzi" Children's Hospital, 20154 Milan, Italy.
Debora PorriClinical Nutrition and Dietetics Service, Unit of Internal Medicine and Endocrinology, ICS Maugeri IRCCS, 27100 Pavia, Italy.ORCID 0000-0002-3327-5057
Corrado RegalbutoPediatric Unit, Fond. IRCCS Policlinico S. Matteo and University of Pavia, 27100 Pavia, Italy.
Federica VinciPediatric Unit, Fond. IRCCS Policlinico S. Matteo and University of Pavia, 27100 Pavia, Italy.
Francesca DestroPediatric Surgery Department, "V. Buzzi" Children's Hospital, 20154 Milan, Italy.
Elettra VestriPediatric Surgery Department, "V. Buzzi" Children's Hospital, 20154 Milan, Italy.
Elvira VerduciPediatric Department, "V. Buzzi" Children's Hospital, 20154 Milan, Italy.ORCID 0000-0003-2111-3111
Alessandra BosettiPediatric Department, "V. Buzzi" Children's Hospital, 20154 Milan, Italy.
Gianvincenzo ZuccottiPediatric Department, "V. Buzzi" Children's Hospital, 20154 Milan, Italy.ORCID 0000-0002-2795-9874
Fatima Cody StanfordMassachusetts General Hospital and Harvard Medical School, Boston, MA 02114, USA.ORCID 0000-0003-4616-533X

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Pediatric obesity is a multifaceted disease that can impact physical and mental health. It is a complex condition that interweaves biological, developmental, environmental, behavioral, and genetic factors. In most cases lifestyle and behavioral modification as well as medical treatment led to poor short-term weight reduction and long-term failure. Thus, bariatric surgery should be considered in adolescents with moderate to severe obesity who have previously participated in lifestyle interventions with unsuccessful outcomes. In particular, laparoscopic sleeve gastrectomy is considered the most commonly performed bariatric surgery worldwide. The procedure is safe and feasible. The efficacy of this weight loss surgical procedure has been demonstrated in pediatric age. Nevertheless, there are barriers at the patient, provider, and health system levels, to be removed. First and foremost, more efforts must be made to prevent decline in nutritional status that is frequent after bariatric surgery, and to avoid inadequate weight loss and weight regain, ensuring successful long-term treatment and allowing healthy growth. In this narrative review, we considered the rationale behind surgical treatment options, outcomes, and clinical indications in adolescents with severe obesity, focusing on LSG, nutritional management, and resolution of metabolic comorbidities.

Indexed as

adolescentsbariatric surgerycomplicationslaparoscopic sleeve gastrectomymulti-disciplinaritynutritional statuspediatric obesityweight loss

Identifiers

PMID34072065
PMCPMC8204230

What Socratic holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.