Evidence map›Paper›PMID 39317907›Full record

ArticleSurgical endoscopy2024

Metabolic and bariatric surgery outcomes in adolescents: a single center's seven-year update.

Michael Kochis, Christa Bizimana, Alyssa Stetson, Maimouna Sy, Hang Lee, Vibha Singhal, Denise Gee, Janey S A Pratt, Cornelia L Griggs

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Article in Surgical endoscopy, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing 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

5 citing papers in PubMed.

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4 · The record

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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

9 authors.

Michael KochisDepartment of Surgery, Massachusetts General Hospital, Boston, MA, USA. mkochis@mgh.harvard.edu.ORCID 0000-0002-2596-0425
Christa BizimanaDepartment of Surgery, Massachusetts General Hospital, Boston, MA, USA.
Alyssa StetsonDepartment of Surgery, Massachusetts General Hospital, Boston, MA, USA.
Maimouna SyDepartment of Surgery, Massachusetts General Hospital, Boston, MA, USA.
Hang LeeBiostatistics Center, Massachusetts General Hospital, Boston, MA, USA.
Vibha SinghalPediatric Endocrinology and Obesity Medicine, UCLA Mattel Children's Hospital, Los Angeles, CA, USA.
Denise GeeDepartment of Surgery, Massachusetts General Hospital, Boston, MA, USA.
Janey S A PrattDepartment of Surgery, Stanford Hospital, Stanford, CA, USA.
Cornelia L GriggsDepartment of Surgery, Massachusetts General Hospital, Boston, MA, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundMetabolic and bariatric surgery (MBS) is gaining traction as a treatment option for adolescents with severe obesity. Since our weight center last published results in 2014, trends have shown increasingly diverse patient populations undergoing MBS and a shift from laparoscopic Roux-en-Y gastric bypass (LRYGB) to sleeve gastrectomy (LSG). We assessed outcomes including follow-up, weight loss, comorbidity resolution, and complications among our recent adolescent and young adult MBS patients.

methodsThis is a retrospective cohort analysis of patients under 21 years of age with severe obesity who underwent MBS at a single institution between 2014 and 2020. Data on demographics, comorbidities, body mass index (BMI), percent of total body weight loss (%TBWL) at various timepoints, and subsequent complications were collected via chart review. Regression examined associations between preoperative factors, follow-up, and %TBWL.

resultsThere were 79 patients of whom 73% were female; overall, 53% were White, 24% Hispanic, and 15% non-Hispanic Black. The majority (80%) of patients underwent LSG. Three-fourths of patients had follow-up data beyond 1 year, and half beyond 3 years. The median %TBWL of LSG patients was 23% at a median follow-up of 3.0 years, and LRYGB patients 28% at 2.4 years. No preoperative factors were associated with follow-up or final %TBWL, but 6-month %TBWL predicted final %TBWL. Preoperatively, 73% of patients had at least one weight-related comorbidity, and 57% had documented improvements in at least one after surgery. There were three 30-day readmissions and no mortalities.

conclusionsThis study, which is an update to a previous series from our center, reflects recent national trends with nearly half non-White patients and predominance of LSG over LRYGB. It adds to a growing body of evidence indicating that MBS is a safe and effective method of achieving weight loss and comorbidity resolution in adolescents with severe obesity.

Indexed as

Bariatric SurgeryObesity, MorbidWeight LossAdolescentBody Mass IndexFemaleGastrectomyHumansMalePediatric ObesityPostoperative ComplicationsRetrospective StudiesTreatment OutcomeYoung AdultAdolescentsComorbiditiesLaparoscopic sleeve gastrectomyMetabolic and bariatric surgeryRoux-en-Y gastric bypassWeight loss

Identifiers

PMID39317907

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Registered trials

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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.