Four-Year Weight Outcomes of Laparoscopic Gastric Bypass Surgery and Adjustable Gastric Banding Among Multiethnic Adolescents
Nestor de la Cruz-Muñoz, Sarah E. Messiah, Juan Cabrera, Cristina Torres, Manuel Cuesta, Guillermo Lopez-Mitnik, Kristopher L. Arheart

- Teens with severe obesity who had gastric bypass or gastric banding achieved significant, lasting weight loss over four years, with bypass producing greater reduction.
- This included Hispanic and Black teenagers, some of the earliest such evidence for diverse communities.
- This was Dr. de la Cruz-Muñoz's first published adolescent bariatric study, launching over 15 years of research.
- Medical guidelines have since evolved; AAP now recommends bypass and sleeve but not banding for teens, consistent with these findings.
- This demonstrates one of the longest track records in the country for adolescent bariatric surgery research.
This retrospective study examined four-year weight outcomes of gastric bypass and gastric banding among multiethnic adolescents with severe obesity in South Florida, demonstrating significant and sustained weight loss through four years for both procedures, with gastric bypass producing greater overall reduction. This was one of the first studies reporting medium-term comparative outcomes in multiethnic adolescents, helping establish the evidence base for AAP and ASMBS endorsements.
de la Cruz-Muñoz N, Messiah S, Cabrera J, Torres C, Cuesta M, Lopez-Mitnik G, Arheart K. Four-Year Weight Outcomes of Laparoscopic Gastric Bypass Surgery and Adjustable Gastric Banding Among Multiethnic Adolescents. Surgery for Obesity and Related Diseases. 2010;6(5):542-547. doi:10.1016/j.soard.2010.06.002. PMID: 20692878.






