title: Mid-term results of laparoscopic sleeve gastrectomy and Roux-en-Y gastric bypass in adolescent patients.
abstract: The prevalence and severity of obesity in children and adolescents has been increasing in recent years at an unprecedented rate. Morbidly obese children will almost certainly develop severe comorbidities as they progress to adulthood, and bariatric surgery may provide the only alternative for achieving a healthy weight. The aim of this study was to assess the long-term outcomes and safety of laparoscopic sleeve gastrectomy (LSG) and Roux-en-Y gastric bypass (RYGB) as new treatment modalities for morbidly obese adolescents. We conducted a retrospective review of a prospectively collected database of all adolescent patients who underwent LSG and RYGB under IRB protocol at the Bariatric and Metabolic Institute in Cleveland Clinic Florida between 2002 and 2011. Patients were also contacted by phone, adhering to HIPAA regulations, and were asked to answer a survey. Eighteen adolescents had a bariatric procedure performed at this institution. The mean age was 17.5 years, the average weight was 293.1 lbs, and the average BMI was 47.2 kg/m2. The mean follow-up period consisted of 55.2 months. The postoperative weight at 55 months follow-up was 188.4 lbs and average BMI was 30.1 kg/m2. Fifteen of the patients were available for follow-up. Thirteen out of 16 (81%) comorbidities in patients available for follow-up were in remission following rapid weight loss. The long-term follow-up and perioperative morbidity shown in this study suggest that LSG and LRYGB appear to be safe and effective operations in morbidly obese adolescents.
authors.affiliation: Department of General Surgery, Bariatric and Metabolic Institute and Section of Minimally Invasive Surgery, Cleveland Clinic Florida, 2950 Cleveland Clinic Blvd, Weston, FL, 33331, USA.
authors.forename: Yaniv
authors.initials: Y
authors.lastname: Cozacov
authors.forename: Mayank
authors.initials: M
authors.lastname: Roy
authors.forename: Savannah
authors.initials: S
authors.lastname: Moon
authors.forename: Pablo
authors.initials: P
authors.lastname: Marin
authors.forename: Emanuele
authors.initials: E
authors.lastname: Lo Menzo
authors.forename: Samuel
authors.initials: S
authors.lastname: Szomstein
authors.forename: Raul
authors.initials: R
authors.lastname: Rosenthal
mesh_terms: D000293:Adolescent; D015992:Body Mass Index; D015897:Comorbidity; D003924:Diabetes Mellitus, Type 2 / Q000517:prevention & control / Q000601:surgery*; D005260:Female; D005431:Florida / Q000453:epidemiology; D005500:Follow-Up Studies; D015390:Gastric Bypass; D005764:Gastroesophageal Reflux / Q000517:prevention & control / Q000601:surgery*; D006801:Humans; D006937:Hypercholesterolemia / Q000517:prevention & control / Q000601:surgery*; D010535:Laparoscopy; D008297:Male; D009767:Obesity, Morbid / Q000453:epidemiology / Q000601:surgery*; D017060:Patient Satisfaction; D018579:Patient Selection; D017410:Practice Guidelines as Topic; D012074:Remission Induction; D012189:Retrospective Studies; D018570:Risk Assessment; D012891:Sleep Apnea Syndromes / Q000517:prevention & control / Q000601:surgery*; D013997:Time Factors; D016896:Treatment Outcome; D015431:Weight Loss