Evolution and Outcomes of a Canadian Pediatric Bariatric Surgery Program

A Canadian quaternary hospital's 10-year experience with adolescent bariatric surgery demonstrates that sleeve gastrectomy and Roux-en-Y gastric bypass achieve superior weight loss and lower reoperation rates compared to gastric banding. The program safely performed 38 procedures within a multidisciplinary obesity management framework, with minimal complications and evolving surgical technique selection over time.