One anastomosis gastric bypass effective in children with severe obesity
A recent study published in Obesity Surgery found that one anastomosis gastric bypass (OAGB) is a safe and effective weight loss procedure for children and adolescents with severe obesity compared to two other weight loss procedures - sleeve gastrectomy (SG) and Roux-en-Y gastric bypass (RYGB) - over a five-year follow-up period.
Childhood obesity remains a pressing global issue with serious medical and social implications. In the quest to combat this problem, medical professionals have been exploring different weight loss procedures. Among them, OAGB has gained approval as an effective and durable method for weight loss and the resolution of obesity-related health problems in adults. However, its suitability and safety for children and adolescents have been a subject of debate.
The study, conducted at an academic hospital, spanned from March 2016 to December 2020 and included 228 patients with severe obesity aged between 9 and 18 years. Among the participants, 107 underwent SG, 37 had RYGB, and 84 received OAGB as primary weight loss interventions.
The findings of the study revealed promising results for OAGB in the pediatric population. Over the 60-month follow-up period, the patients who underwent OAGB experienced a significant decrease in body mass index (BMI) compared to those who received SG and RYGB. The mean ∆BMI values at the 12th, 36th, and 60th months postoperatively were consistently lower in the OAGB group, indicating better weight loss outcomes for this procedure.
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