Initial outcomes of laparoscopic Roux-en-Y gastric bypass in morbidly obese adolescents

Joy Collins, Samer Mattar, Faisal Qureshi, Juanita Warman, Ramesh Ramanathan, Philip Schauer, George Eid

Research output: Contribution to journalArticle

53 Citations (Scopus)

Abstract

Background: Adolescent obesity is an epidemic in the United States, leading to significant morbidity. Because the impact of laparoscopic bariatric surgery in this population is not as well delineated as in adults, we examined the short-term outcome of adolescents undergoing laparoscopic Roux-en-Y gastric bypass at our institution. Methods: The medical records of patients ≤18 years of age who had undergone laparoscopic Roux-en-Y gastric bypass for morbid obesity from 1999 to June 2005 were reviewed. The outcome variables examined included preoperative body mass index, percent of excess weight lost for those with at least 3 months of follow-up, length of hospital stay, postoperative morbidity and mortality, changes in comorbid conditions, and effects of surgical weight loss on quality of life. Data are presented as the mean ± standard error of the mean. Results: Eleven patients (seven girls and four boys) had undergone laparoscopic Roux-en-Y gastric bypass. The mean follow-up was 11.5 ± 2.8 months (range 3-32). The average patient age was 16.5 ± 0.2 years, and the average body mass index was 50.5 ± 2.0 kg/m2. The average number of comorbidities was 5.3, 70% of which improved or resolved postoperatively. No mortalities resulted. Of the 11 patients, 1 had early postoperative bleeding and 2 developed a marginal ulcer. The quality-of-life surveys obtained from 9 patients reflected an overall improvement in self-esteem, social functioning, and productivity in school or the workplace. Conclusions: The initial data suggest that laparoscopic gastric bypass is an effective weight loss treatment for morbidly obese adolescents.

Original languageEnglish (US)
Pages (from-to)147-152
Number of pages6
JournalSurgery for Obesity and Related Diseases
Volume3
Issue number2
DOIs
StatePublished - Mar 2007
Externally publishedYes

Fingerprint

Gastric Bypass
Weight Loss
Length of Stay
Body Mass Index
Quality of Life
Morbidity
Bariatric Surgery
Morbid Obesity
Mortality
Pediatric Obesity
Peptic Ulcer
Self Concept
Workplace
Laparoscopy
Medical Records
Comorbidity
Hemorrhage
Weights and Measures
Population

Keywords

  • Adolescent obesity
  • Bariatric surgery
  • Gastric bypass
  • Morbid obesity
  • Quality of life

ASJC Scopus subject areas

  • Surgery

Cite this

Collins, J., Mattar, S., Qureshi, F., Warman, J., Ramanathan, R., Schauer, P., & Eid, G. (2007). Initial outcomes of laparoscopic Roux-en-Y gastric bypass in morbidly obese adolescents. Surgery for Obesity and Related Diseases, 3(2), 147-152. https://doi.org/10.1016/j.soard.2006.12.002

Initial outcomes of laparoscopic Roux-en-Y gastric bypass in morbidly obese adolescents. / Collins, Joy; Mattar, Samer; Qureshi, Faisal; Warman, Juanita; Ramanathan, Ramesh; Schauer, Philip; Eid, George.

In: Surgery for Obesity and Related Diseases, Vol. 3, No. 2, 03.2007, p. 147-152.

Research output: Contribution to journalArticle

Collins, J, Mattar, S, Qureshi, F, Warman, J, Ramanathan, R, Schauer, P & Eid, G 2007, 'Initial outcomes of laparoscopic Roux-en-Y gastric bypass in morbidly obese adolescents', Surgery for Obesity and Related Diseases, vol. 3, no. 2, pp. 147-152. https://doi.org/10.1016/j.soard.2006.12.002
Collins, Joy ; Mattar, Samer ; Qureshi, Faisal ; Warman, Juanita ; Ramanathan, Ramesh ; Schauer, Philip ; Eid, George. / Initial outcomes of laparoscopic Roux-en-Y gastric bypass in morbidly obese adolescents. In: Surgery for Obesity and Related Diseases. 2007 ; Vol. 3, No. 2. pp. 147-152.
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