National survey for bariatric procedures in adolescents: Long time follow-up.
BACKGROUND
The role of bariatric surgery and its role in adolescent is still under discussion worldwide. The aim of this study is to report an Italian survey for bariatric procedures in adolescents and the outcome with a medium and long-term follow-up.


METHODS
We retrospectively analyzed consecutive data added into the Italian register of the society for bariatric surgery(period 2000-2010). We evaluated all patients treated in a 10-year period with a mean follow-up of 3 years. Inclusion and exclusion criteria were created. All patients were aged between 13 and 18 years. We evaluated and compared clinical data.


RESULTS
After reviewing medical charts, 173 patients were considered for the study; 85 patients were treated with adjustable gastric band (AGB), 47 with intragastric balloon (IB), 26 with sleeve gastrectomy (SG) and other 15 patients with malabsorptive techniques (MT). Among clinical data, there was a statistical difference in terms of %excess weight loss (%EWL) between techniques only after 1 year post-procedure; at 5 years, considering the percentage of patients studied, sleeve gastrectomy had the best %EWL respect to other non malabsorptive techniques (p<0.05); at 5 year more than 90% resolved their comorbidities especially hypertension, dyspnea, orthopedic problems and dyspnea.


CONCLUSIONS
This study is the first reporting a national survey in adolescent; more than 80% of patients are followed until 5 years post-op but only few patients (less than 5%) until 10 years. Our results demonstrated that sleeve gastrectomy in adolescent is safe and had a better %EWL respect to other non-malabsorptive bariatric procedures.


METHODS
level III.
Department of Emergency and Surgery, Clinica Dott.Pederzoli Hospital, Peschiera del Garda, Verona.
Roberto Luca
RL
Castellani
Department of Surgery, University of Torino, San Giovanni Battista Hospital -Molinette Hospital, Torino.
Mauro
M
Toppino
Department of Surgery, Clinica Dott.Pederzoli Hospital, Peschiera del Garda, Verona.
Franco
F
Favretti
Department of Surgery, Pediatric Surgical Unit, University of Verona, AOUI-Policlinico G.B.Rossi, piazzale L.A.Scuro n.1, 37134 Verona, Italy.
Francesco Saverio
FS
Camoglio
Department of Surgery, Pediatric Surgical Unit, University of Verona, AOUI-Policlinico G.B.Rossi, piazzale L.A.Scuro n.1, 37134 Verona, Italy. Electronic address: dr.zampieri@libero.it.
Nicola
N
Zampieri
D000293:Adolescent; D050110:Bariatric Surgery / Q000009:adverse effects / Q000379:methods*; D005260:Female; D005500:Follow-Up Studies; D005743:Gastrectomy / Q000009:adverse effects / Q000379:methods*; D015905:Gastric Balloon; D006801:Humans; D006973:Hypertension / Q000209:etiology; D007558:Italy; D008297:Male; D017063:Outcome Assessment, Health Care; D063766:Pediatric Obesity / Q000601:surgery*; D012189:Retrospective Studies; D015431:Weight Loss
Adolescent; Bariatric procedures; Obesity