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25-09-2024 | Bariatric Surgery | 2024 SAGES Poster

Metabolic and bariatric surgery outcomes in adolescents: a single center’s seven-year update

Authors: Michael Kochis, Christa Bizimana, Alyssa Stetson, Maimouna Sy, Hang Lee, Vibha Singhal, Denise Gee, Janey S. A. Pratt, Cornelia L. Griggs

Published in: Surgical Endoscopy

Abstract

Background

Metabolic and bariatric surgery (MBS) is gaining traction as a treatment option for adolescents with severe obesity. Since our weight center last published results in 2014, trends have shown increasingly diverse patient populations undergoing MBS and a shift from laparoscopic Roux-en-Y gastric bypass (LRYGB) to sleeve gastrectomy (LSG). We assessed outcomes including follow-up, weight loss, comorbidity resolution, and complications among our recent adolescent and young adult MBS patients.

Methods

This is a retrospective cohort analysis of patients under 21 years of age with severe obesity who underwent MBS at a single institution between 2014 and 2020. Data on demographics, comorbidities, body mass index (BMI), percent of total body weight loss (%TBWL) at various timepoints, and subsequent complications were collected via chart review. Regression examined associations between preoperative factors, follow-up, and %TBWL.

Results

There were 79 patients of whom 73% were female; overall, 53% were White, 24% Hispanic, and 15% non-Hispanic Black. The majority (80%) of patients underwent LSG. Three-fourths of patients had follow-up data beyond 1 year, and half beyond 3 years. The median %TBWL of LSG patients was 23% at a median follow-up of 3.0 years, and LRYGB patients 28% at 2.4 years. No preoperative factors were associated with follow-up or final %TBWL, but 6-month %TBWL predicted final %TBWL. Preoperatively, 73% of patients had at least one weight-related comorbidity, and 57% had documented improvements in at least one after surgery. There were three 30-day readmissions and no mortalities.

Conclusions

This study, which is an update to a previous series from our center, reflects recent national trends with nearly half non-White patients and predominance of LSG over LRYGB. It adds to a growing body of evidence indicating that MBS is a safe and effective method of achieving weight loss and comorbidity resolution in adolescents with severe obesity.

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Title: Metabolic and bariatric surgery outcomes in adolescents: a single center’s seven-year update
Authors: Michael Kochis
Christa Bizimana
Alyssa Stetson
Maimouna Sy
Hang Lee
Vibha Singhal
Denise Gee
Janey S. A. Pratt
Cornelia L. Griggs
Publication date: 25-09-2024
Publisher: Springer US
Keywords: Bariatric Surgery
Bariatric Surgery
Sleeve Gastrectomy
Obesity
Obesity
Published in: Surgical Endoscopy
Print ISSN: 0930-2794
Electronic ISSN: 1432-2218
DOI: https://doi.org/10.1007/s00464-024-11273-0

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Metabolic and bariatric surgery outcomes in adolescents: a single center’s seven-year update

Abstract

Background

Methods

Results

Conclusions

Mastering chronic pancreatitis pain: A multidisciplinary approach and practical solutions

Keynote webinar | Spotlight on modern management of frailty

Springer Medicine

Abstract

Background

Methods

Results

Conclusions

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Mastering chronic pancreatitis pain: A multidisciplinary approach and practical solutions