Trends of bariatric surgery in adolescents and young adults in France: a nationwide analysis on 11 years of follow-up.

Abstract Background As the prevalence of obesity in adolescents has reached an alarming level of 16%, the rate of metabolic bariatric surgery (MBS) in this population is also rising in several countries. Objectives This study aimed to compare the trends in types of MBS, short-term safety, and revisional rates, in younger adolescents aged 20 years. Setting Clinical research center, general hospital in France. Methods Using a national administrative database (Programme de Medicalisation des Systemes d’Information [PMSI]), data regarding all patients undergoing MBS between 2008 and 2018 in France were examined. Demographic parameters, body mass index (BMI), co-morbidities, types of surgery, early complications, and long-term revisional rates were analyzed, comparing younger adolescents ( Results The number of bariatric procedures in adolescents initially increased from 59 in 2008 to 135 in 2014, and then progressively declined to 56 procedures in 2018. Adjustable gastric banding (AGB) decreased from 83.1% (n = 49) of procedures to 32.1% (n = 18) of procedures during the study period, while sleeve gastrectomy (SG) increased from 6.8% (n = 4) to 46.4% (n = 26). In the early postoperative period, younger adolescents undergoing MBS experienced fewer episodes of reoperation (1.0% versus 1.3% in older adolescents and 2.6% in adults, P Conclusion Despite significantly lower early complication rates and long-term revisional rates in young adolescents (