title: Thirty-day outcomes for children and adolescents undergoing laparoscopic sleeve gastrectomy at a free-standing children's hospital.
abstract: The obesity epidemic continues to affect millions of children and adolescents. Non-surgical options do not result in significant or sustained weight loss; thus bariatric surgery has become increasingly utilized. Limited data exist regarding safety for paediatric bariatric surgery, especially outside of National Institutes of Health (NIH)-funded centres. We hypothesized that the perioperative outcomes of paediatric patients undergoing laparoscopic sleeve gastrectomy (LSG) at our free-standing children's hospital would provide adequate safety profiles. We retrospectively reviewed demographics, comorbidities and 30-d outcomes for all patients who underwent LSG from 2010 to 2015 at a free-standing children's hospital. A total of 105 patients underwent 107 LSG procedures (two revisions). Mean age was 17.2 ± 2.4 years. Male to female ratio was 1:4. The majority were Black (57.1%), followed by White (21.0%) and Hispanic (18.1%). The mean body mass index was 51.0 ± 9.8 kg/m2. Comorbidities included obstructive sleep apnea (59.0%), hypertension (15.2%), polycystic ovarian disease (16.7% of females only), depression (12.4%) and diabetes (11.4%). Median length of stay was 2.0 d (1-7 d). There were no deaths. Major complications occurred in four patients (3.8%); three required reoperation. Four patients (3.8%) experienced minor complications. Laparoscopic sleeve gastrectomy can be safely performed for children and adolescents at a free-standing children's hospital without NIH-support.
authors.affiliation: Division of Pediatric Surgery, Children's National Medical Center, Washington, DC, USA.
authors.forename: A L
authors.initials: AL
authors.lastname: Speer
authors.affiliation: Division of Pediatric Surgery, Children's National Medical Center, Washington, DC, USA.
authors.forename: J
authors.initials: J
authors.lastname: Parekh
authors.affiliation: Division of Pediatric Surgery, Children's National Medical Center, Washington, DC, USA.
authors.forename: F G
authors.initials: FG
authors.lastname: Qureshi
authors.affiliation: Division of Pediatric Surgery, Children's National Medical Center, Washington, DC, USA.
authors.forename: E P
authors.initials: EP
authors.lastname: Nadler
mesh_terms: D000293:Adolescent; D050110:Bariatric Surgery / Q000379:methods*; D015992:Body Mass Index; D003863:Depression / Q000150:complications; D048909:Diabetes Complications / Q000150:complications; D005260:Female; D005743:Gastrectomy / Q000379:methods*; D006776:Hospitals, Pediatric / Q000706:statistics & numerical data; D016304:Hospitals, Private / Q000706:statistics & numerical data; D006801:Humans; D010535:Laparoscopy; D007902:Length of Stay; D008297:Male; D063766:Pediatric Obesity / Q000150:complications / Q000601:surgery*; D011085:Polycystic Ovary Syndrome / Q000150:complications; D012086:Reoperation; D012189:Retrospective Studies; D020181:Sleep Apnea, Obstructive / Q000150:complications; D016896:Treatment Outcome; D055815:Young Adult
keywords: 30-d outcomes; adolescent bariatric surgery; sleeve gastrectomy