کد مقاله | کد نشریه | سال انتشار | مقاله انگلیسی | نسخه تمام متن |
---|---|---|---|---|
8731611 | 1590400 | 2018 | 27 صفحه PDF | دانلود رایگان |
عنوان انگلیسی مقاله ISI
Weight loss after bariatric surgery in obese adolescents: a systematic review and meta-analysis
ترجمه فارسی عنوان
کاهش وزن پس از جراحی بارداری در نوجوانان چاق: یک بررسی سیستماتیک و متا آنالیز
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کلمات کلیدی
جراحی بای بای جراحی، نوجوانان چاقی، میان بر، باند، آستین
موضوعات مرتبط
علوم پزشکی و سلامت
پزشکی و دندانپزشکی
بیماریهای گوارشی
چکیده انگلیسی
Of adolescents in the United States, 20% have obesity and current treatment options prioritize intensive lifestyle interventions that are largely ineffective. Bariatric surgery is increasingly being offered to obese adolescent patients; however, large-scale effectiveness data is lacking. We used MEDLINE, Embase, and Cochrane databases, and a manual search of references to conduct a systematic review and meta-analysis on overall weight loss after gastric band, gastric sleeve, and gastric bypass in obese adolescent patients (age â¤19) and young adults (age â¤21) in separate analyses. We provided estimates of absolute change in body mass index (BMI, kg/m2) and percent excess weight loss across 4 postoperative time points (6, 12, 24, and 36 mo) for each surgical subgroup. Study quality was assessed using a 10 category scoring system. Data were extracted from 24 studies with 4 having multiple surgical subgroups (1 with 3, and 3 with 2 subgroups), totaling 29 surgical subgroup populations (gastric band: 16, gastric sleeve: 5, gastric bypass: 8), and 1928 patients (gastric band: 1010, gastric sleeve: 139, gastric bypass: 779). Mean preoperative BMI (kg/m2) was 45.5 (95% confidence interval [CI]: 44.7, 46.3) in gastric band, 48.8 (95%CI: 44.9, 52.8) in gastric sleeve, and 53.3 (95%CI: 50.2, 56.4) in gastric bypass patients. The short-term weight loss, measured as mean (95%CI) absolute change in BMI (kg/m2) at 6 months, was -5.4 (â3.0, â7.8) after gastric band, â11.5 (â8.8, â14.2) after gastric sleeve, and â18.8 (â10.9, â26.6) after gastric bypass. Weight loss at 36 months, measured as mean (95%CI) absolute change in BMI (kg/m2) was â10.3 (â7.0, â13.7) after gastric band, â13.0 (â11.0, â15.0) after gastric sleeve, and â15.0 (â13.5, â16.5) after gastric bypass. Bariatric surgery in obese adolescent patients is effective in achieving short-term and sustained weight loss at 36 months; however, long-term data remains necessary to better understand its long-term efficacy.
ناشر
Database: Elsevier - ScienceDirect (ساینس دایرکت)
Journal: Surgery for Obesity and Related Diseases - Volume 14, Issue 3, March 2018, Pages 413-422
Journal: Surgery for Obesity and Related Diseases - Volume 14, Issue 3, March 2018, Pages 413-422
نویسندگان
Felipe E. M.P.H., M.D., Federico M.P.H., M.D., Atsushi M.P.H., M.D., Hormuzdiyar M.P.H., M.D., Alessandra M.P.H., M.D., Ricardo M.P.H., M.D., Ammara A. M.P.H., M.D., Manuel M.P.H., M.D., Julie E. M.Sc., Ph.D., Jeffrey L. M.D.,