title: SURGICAL TREATMENT OF SEVERE OBESITY IN TEENS: LATE RESULTS.
abstract: BACKGROUND
  In children is estimated that the prevalence of overweight and obesity has increased up to five times in developed countries and up to four in developing countries. In Brazil, the proportion of children and adolescents who are overweight also increased from approximately 4.1% to 13.9%.
  
  
  OBJECTIVE
  To evaluate the surgical results of severe obesity in adolescents.
  
  
  METHODS
  Retrospective descriptive study of 2737 patients with severe obesity that underwent Roux-en-Y gastric bypass selecting from the total 44 patients with mean age of 18.1 years, 14 males and 30 females, most (37) operated by laparotomy. There was follow-up of 20 patients (45.45%). All were followed preoperatively by a multidisciplinary team and had indication confirmed for surgical unanimous approval of all team members.
  
  
  RESULTS
  Among the 20 adolescent, 14 were female. From five teenagers using anti-hypertension or hypoglycemic drugs before surgery, four (80%) had drug discontinuation and one (20%) reduced the dose in 50% postoperatively. The average weight loss was 45.4 kg after a mean follow up of 60 months. There were no deaths or severe postoperative complications. Among those who underwent postoperative follow-up with a multidisciplinary team, 18 were with BMI<30.
  
  
  CONCLUSIONS
  Adolescents undergoing Roux-en-Y gastric bypass has good response in relation to weight loss and improvement of comorbidities. There was a low rate of complications and no deaths. All patients were satisfied with their personal results.
authors.affiliation: Hospital das Clínicas, Federal University of Pernambuco, Recife, PE, Brazil.
authors.forename: Álvaro Antônio Bandeira
authors.initials: ÁA
authors.lastname: Ferraz
authors.affiliation: Hospital das Clínicas, Federal University of Pernambuco, Recife, PE, Brazil.
authors.forename: Luciana Teixeira
authors.initials: LT
authors.lastname: de Siqueira
authors.affiliation: Hospital das Clínicas, Federal University of Pernambuco, Recife, PE, Brazil.
authors.forename: Clarissa Guedes
authors.initials: CG
authors.lastname: Noronha
authors.affiliation: Hospital das Clínicas, Federal University of Pernambuco, Recife, PE, Brazil.
authors.forename: Danilo Belem Rodrigues
authors.initials: DB
authors.lastname: de Holanda
authors.affiliation: Hospital das Clínicas, Federal University of Pernambuco, Recife, PE, Brazil.
authors.forename: José Guido Corrêa
authors.initials: JG
authors.lastname: de Araújo-Júnior
authors.affiliation: Hospital das Clínicas, Federal University of Pernambuco, Recife, PE, Brazil.
authors.forename: Mariana Gomes
authors.initials: MG
authors.lastname: Muniz
mesh_terms: D000293:Adolescent; D005260:Female; D006801:Humans; D008297:Male; D009767:Obesity, Morbid / Q000601:surgery*; D012189:Retrospective Studies; D013997:Time Factors; D016896:Treatment Outcome; D055815:Young Adult