BACKGROUND: Adolescent obesity is an epidemic in the United States, leading to significant morbidity. Because the impact of laparoscopic bariatric surgery in this population is not as well delineated as in adults, we examined the short-term outcome of adolescents undergoing laparoscopic Roux-en-Y gastric bypass at our institution. METHODS: The medical records of patients < or =18 years of age who had undergone laparoscopic Roux-en-Y gastric bypass for morbid obesity from 1999 to June 2005 were reviewed. The outcome variables examined included preoperative body mass index, percent of excess weight lost for those with at least 3 months of follow-up, length of hospital stay, postoperative morbidity and mortality, changes in comorbid conditions, and effects of surgical weight loss on quality of life. Data are presented as the mean +/- standard error of the mean. RESULTS: Eleven patients (seven girls and four boys) had undergone laparoscopic Roux-en-Y gastric bypass. The mean follow-up was 11.5 +/- 2.8 months (range 3-32). The average patient age was 16.5 +/- 0.2 years, and the average body mass index was 50.5 +/- 2.0 kg/m(2). The average number of comorbidities was 5.3, 70% of which improved or resolved postoperatively. No mortalities resulted. Of the 11 patients, 1 had early postoperative bleeding and 2 developed a marginal ulcer. The quality-of-life surveys obtained from 9 patients reflected an overall improvement in self-esteem, social functioning, and productivity in school or the workplace. CONCLUSIONS: The initial data suggest that laparoscopic gastric bypass is an effective weight loss treatment for morbidly obese adolescents.
BACKGROUND:Adolescent obesity is an epidemic in the United States, leading to significant morbidity. Because the impact of laparoscopic bariatric surgery in this population is not as well delineated as in adults, we examined the short-term outcome of adolescents undergoing laparoscopic Roux-en-Y gastric bypass at our institution. METHODS: The medical records of patients < or =18 years of age who had undergone laparoscopic Roux-en-Y gastric bypass for morbid obesity from 1999 to June 2005 were reviewed. The outcome variables examined included preoperative body mass index, percent of excess weight lost for those with at least 3 months of follow-up, length of hospital stay, postoperative morbidity and mortality, changes in comorbid conditions, and effects of surgical weight loss on quality of life. Data are presented as the mean +/- standard error of the mean. RESULTS: Eleven patients (seven girls and four boys) had undergone laparoscopic Roux-en-Y gastric bypass. The mean follow-up was 11.5 +/- 2.8 months (range 3-32). The average patient age was 16.5 +/- 0.2 years, and the average body mass index was 50.5 +/- 2.0 kg/m(2). The average number of comorbidities was 5.3, 70% of which improved or resolved postoperatively. No mortalities resulted. Of the 11 patients, 1 had early postoperative bleeding and 2 developed a marginal ulcer. The quality-of-life surveys obtained from 9 patients reflected an overall improvement in self-esteem, social functioning, and productivity in school or the workplace. CONCLUSIONS: The initial data suggest that laparoscopic gastric bypass is an effective weight loss treatment for morbidly obese adolescents.
Authors: Meg H Zeller; Jennifer Reiter-Purtill; Megan B Ratcliff; Thomas H Inge; Jennie G Noll Journal: Surg Obes Relat Dis Date: 2011-03-05 Impact factor: 4.734
Authors: Anne-Marie D Kaulfers; Judy A Bean; Thomas H Inge; Lawrence M Dolan; Heidi J Kalkwarf Journal: Pediatrics Date: 2011-03-28 Impact factor: 7.124
Authors: Daniel Skubleny; Noah J Switzer; Richdeep S Gill; Mark Dykstra; Xinzhe Shi; Margaret A Sagle; Christopher de Gara; Daniel W Birch; Shahzeer Karmali Journal: Obes Surg Date: 2016-01 Impact factor: 4.129
Authors: Ramon Vilallonga; José Manuel Moreno Villares; Diego Yeste Fernández; Raquel Sánchez Santos; Felipe Casanueva Freijo; Francisco Santolaya Ochando; Nuria Leal Hernando; Albert Lecube Torelló; Luis Antonio Castaño González; Albert Feliu; Gontrand Lopez-Nava; Dolores Frutos; Felipe de la Cruz Vigo; Antonio J Torres Garcia; Juan Carlos Ruiz de Adana Journal: Obes Surg Date: 2017-04 Impact factor: 4.129
Authors: Nestor De La Cruz-Muñoz; Gabriela Lopez-Mitnik; Kristopher L Arheart; Tracie L Miller; Steven E Lipshultz; Sarah E Messiah Journal: Obes Surg Date: 2013-02 Impact factor: 4.129
Authors: Janey S A Pratt; Carine M Lenders; Emily A Dionne; Alison G Hoppin; George L K Hsu; Thomas H Inge; David F Lawlor; Margaret F Marino; Alan F Meyers; Jennifer L Rosenblum; Vivian M Sanchez Journal: Obesity (Silver Spring) Date: 2009-02-19 Impact factor: 5.002