July 29, 2026 · Journal of the American College of Surgeons · DOI: 10.1097/XCS.0000000000002113

Incidence and Predictors of Textbook Outcomes after Metabolic and Bariatric Surgery in Adolescents

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The authors aimed to evaluate the incidence and predictors of achieving textbook outcomes (TO) in adolescents undergoing metabolic and bariatric surgery, specifically vertical sleeve gastrectomy (VSG) and Roux-en-Y gastric bypass (RYGB). They found that 90.8% of patients achieved TO, with higher rates after VSG compared to RYGB, and identified factors such as surgical approach, patient age, and race/ethnicity that influenced the likelihood of achieving TO. The study highlights the importance of procedure type and patient demographics in surgical outcomes for this population.

Michael T Olson, Mark Shacker, Justine O Chinn, Brian D Layton, Janey Sa Pratt

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