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Surgical Endoscopy

Published in:

01-11-2016

Outcomes of bariatric surgery in the young: a single-institution experience caring for patients under 21 years old

Authors: Oscar K. Serrano, Yang Zhang, Emily Kintzer, Erin Moran-Atkin, Jenny Choi, W. Scott Melvin, Diego R. Camacho

Published in: Surgical Endoscopy | Issue 11/2016

Abstract

Background

Medical weight loss options are rarely successful long term in young patients. Bariatric surgery has been shown to be safe and effective in this population.

Methods

Patients ≤21 years old who had bariatric surgery at our institution between January 2009 and December 2013 were evaluated to determine the safety and efficacy of bariatric surgery in this population. The primary end point was excess weight loss (EWL). Secondary end points included surgical morbidity, improvement in obesity-related metabolic parameters, and subjective obesity-related symptoms at 1 year.

Results

Fifty-four patients were identified who had a laparoscopic Roux-en-Y gastric bypass (LGBP) or laparoscopic sleeve gastrectomy (LSG). Fourteen patients were male (25.9 %), and 40 patients were female (74.1 %). Thirty-seven patients (68.5 %) underwent LGBP, and 17 patients (31.5 %) underwent LSG. Median follow-up was 13.3 months. The baseline BMI was 51.7 kg/m² for the LGBP group and 51.0 kg/m² for the LSG group. EWL was 35.2, 47.6, 62.4, 58.1, and 61.8 % for the LGBP group; 29.7, 44.7, 57.4, 60.3, and 59.0 % for the LSG group at 3, 6, 12, 24, and 36 months, respectively. Our complications included 1 anastomotic bleed, 1 postoperative stricture, and 1 patient who developed vitamin deficiency that manifested as a peripheral neuropathy in the LGBP group. LGBP was more successful than LSG in improving lipid panel parameters and HbA1c at 1 year, and it also seemed to offer better subjective improvement in obesity-related symptoms.

Conclusions

LGBP and LSG seem to confer comparable weight loss benefit in patients ≤21 years old with acceptable surgical morbidity.

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Title: Outcomes of bariatric surgery in the young: a single-institution experience caring for patients under 21 years old
Authors: Oscar K. Serrano
Yang Zhang
Emily Kintzer
Erin Moran-Atkin
Jenny Choi
W. Scott Melvin
Diego R. Camacho
Publication date: 01-11-2016
Publisher: Springer US
Published in: Surgical Endoscopy / Issue 11/2016
Print ISSN: 0930-2794
Electronic ISSN: 1432-2218
DOI: https://doi.org/10.1007/s00464-016-4849-2

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Outcomes of bariatric surgery in the young: a single-institution experience caring for patients under 21 years old

Abstract

Background

Methods

Results

Conclusions

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Abstract

Background

Methods

Results

Conclusions

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