title: Long-Term (7 Years) Follow-Up of Roux-en-Y Gastric Bypass on Obese Adolescent Patients (<18 Years).
abstract: BACKGROUND
  Few data are available about obesity surgery in adolescent patients.
  
  
  OBJECTIVE
  To assess long-term outcomes after laparoscopic Roux-en-Y gastric bypass (LRYGB) in patients <18 years.
  
  
  METHODS
  University Hospital, Europe.
  
  
  METHODS
  A retrospective study of prospectively collected data of patients <18 years (childhood group; ChG) (n = 28) treated by LRYGB of which 19 were available for follow-up between 2.4 and 10.2 years (mean 7.2 years). This group of patients was matched with an adult control group (AdG) of randomly chosen patients with similar characteristics who underwent LRYGB during the same period. The extensive survey included a telephonic questionnaire.
  
  
  RESULTS
  19 (12 females) of the 28 patients (67.9%) were available for follow-up. Preoperatively, 3 had type 2 diabetes mellitus (T2DM), 1 arterial hypertension, 5 dyslipidemia and 1 sleep apnea. In the ChG, average BMI after 7 years dropped from 38.9 kg/m2 preoperatively to 27.5 kg/m2. In the AdG, average BMI decreased from 39.4 to 27.1 kg/m2 in the same time period (nonsignificant between groups). One patient in the ChG needed a reoperation (internal hernia) versus 3 patients in the AdG (1 leak, 2 obstructions). All patients resolved their initial comorbidities. Two of 12 female patients in the ChG became pregnant 6 and 8 years after surgery, respectively, despite seemingly adequate oral contraception. Compliance with postoperative guidelines was good in 16/19 patients in ChG and in 14/18 patients in the AdG. Overall degree of satisfaction was high: 8.2/10 (SD 1.2, range 6-10) in the ChG and 8.9/10 (SD 1.7, range 5-10) in the AdG.
  
  
  CONCLUSIONS
  LRYGB seems to be safe, provide good weight loss, and cure comorbidities in an adolescent population. Satisfaction degree is high. Inadvertent pregnancy despite conventional contraception is a possible issue.
authors.affiliation: Division of Bariatric Surgery, AZ St-Blasius, Dendermonde, Belgium.
authors.forename: Ramon
authors.initials: R
authors.lastname: Vilallonga
authors.forename: Jacques
authors.initials: J
authors.lastname: Himpens
authors.forename: Simon
authors.initials: S
authors.lastname: van de Vrande
mesh_terms: D000293:Adolescent; D000328:Adult; D016022:Case-Control Studies; D015897:Comorbidity; D003924:Diabetes Mellitus, Type 2 / Q000601:surgery; D050171:Dyslipidemias / Q000601:surgery; D005060:Europe; D005260:Female; D005500:Follow-Up Studies; D015390:Gastric Bypass / Q000379:methods* / Q000523:psychology; D006801:Humans; D006973:Hypertension / Q000601:surgery; D010535:Laparoscopy; D008297:Male; D010349:Patient Compliance; D063766:Pediatric Obesity / Q000601:surgery*; D011183:Postoperative Complications / Q000453:epidemiology* / Q000209:etiology; D011184:Postoperative Period; D011247:Pregnancy; D011446:Prospective Studies; D012086:Reoperation / Q000706:statistics & numerical data; D012189:Retrospective Studies; D012891:Sleep Apnea Syndromes / Q000601:surgery; D013995:Time; D013997:Time Factors; D016896:Treatment Outcome