Advanced

Laparoscopic Roux-en-Y gastric bypass in adolescents with morbid obesity-Surgical aspects and clinical outcome.

Göthberg, Gunnar; Gronowitz, Eva; Flodmark, Carl-Erik LU ; Dahlgren, Jovanna; Ekbom, Kerstin; Mårild, Staffan; Marcus, Claude and Olbers, Torsten (2014) In Seminars in Pediatric Surgery 23(1). p.11-16
Abstract
In this paper, we address surgical aspects on bariatric surgery in adolescents from a nationwide Swedish study. Laparoscopic gastric bypass surgery was performed for 81 adolescents with morbid obesity (13-18 years), while 81 adolescents with obesity-matched by age, sex, and BMI received conventional care. Another comparison group was adults undergoing gastric bypass at the same institution during the same time period. This report addresses the 2-year clinical outcome and five-year surgical adverse event rate. Body weight decreased from 133kg (SD = 22) at inclusion to 92kg (SD = 17) after 1 year and was 89 (SD = 18) after 2 years (p < 0·001) representing a 32% (-35 to -30) weight loss after 2 years, corresponding to 76% (-81 to -71)... (More)
In this paper, we address surgical aspects on bariatric surgery in adolescents from a nationwide Swedish study. Laparoscopic gastric bypass surgery was performed for 81 adolescents with morbid obesity (13-18 years), while 81 adolescents with obesity-matched by age, sex, and BMI received conventional care. Another comparison group was adults undergoing gastric bypass at the same institution during the same time period. This report addresses the 2-year clinical outcome and five-year surgical adverse event rate. Body weight decreased from 133kg (SD = 22) at inclusion to 92kg (SD = 17) after 1 year and was 89 (SD = 18) after 2 years (p < 0·001) representing a 32% (-35 to -30) weight loss after 2 years, corresponding to 76% (-81 to -71) excess weight loss. Weight loss was similar in the adult gastric bypass patients (-31%) while weight gain (+3%) was seen in the conventionally treated obese adolescents. Significant improvement in cardiovascular and metabolic risk factors and inflammation was seen after surgery. The treatment was generally well tolerated and quality of life improved significantly. The surgical adverse events included cholecystectomies (10%) and operations for internal hernia (9%) but no postoperative mortality. Adolescents undergoing laparoscopic gastric bypass surgery achieve similar weight loss to adults. Improvements in risk factors and quality of life were substantial. There were surgical complications similar to the adult group, which may be preventable. (Less)
Please use this url to cite or link to this publication:
author
organization
publishing date
type
Contribution to journal
publication status
published
subject
in
Seminars in Pediatric Surgery
volume
23
issue
1
pages
11 - 16
publisher
Elsevier
external identifiers
  • pmid:24491362
  • wos:000331597200004
  • scopus:84893342658
ISSN
1532-9453
DOI
10.1053/j.sempedsurg.2013.10.015
language
English
LU publication?
yes
id
49be3b2b-1da7-46c8-a5ef-0ab95d340278 (old id 4335758)
alternative location
http://www.ncbi.nlm.nih.gov/pubmed/24491362?dopt=Abstract
date added to LUP
2014-03-06 22:48:01
date last changed
2017-04-23 03:02:00
@article{49be3b2b-1da7-46c8-a5ef-0ab95d340278,
  abstract     = {In this paper, we address surgical aspects on bariatric surgery in adolescents from a nationwide Swedish study. Laparoscopic gastric bypass surgery was performed for 81 adolescents with morbid obesity (13-18 years), while 81 adolescents with obesity-matched by age, sex, and BMI received conventional care. Another comparison group was adults undergoing gastric bypass at the same institution during the same time period. This report addresses the 2-year clinical outcome and five-year surgical adverse event rate. Body weight decreased from 133kg (SD = 22) at inclusion to 92kg (SD = 17) after 1 year and was 89 (SD = 18) after 2 years (p &lt; 0·001) representing a 32% (-35 to -30) weight loss after 2 years, corresponding to 76% (-81 to -71) excess weight loss. Weight loss was similar in the adult gastric bypass patients (-31%) while weight gain (+3%) was seen in the conventionally treated obese adolescents. Significant improvement in cardiovascular and metabolic risk factors and inflammation was seen after surgery. The treatment was generally well tolerated and quality of life improved significantly. The surgical adverse events included cholecystectomies (10%) and operations for internal hernia (9%) but no postoperative mortality. Adolescents undergoing laparoscopic gastric bypass surgery achieve similar weight loss to adults. Improvements in risk factors and quality of life were substantial. There were surgical complications similar to the adult group, which may be preventable.},
  author       = {Göthberg, Gunnar and Gronowitz, Eva and Flodmark, Carl-Erik and Dahlgren, Jovanna and Ekbom, Kerstin and Mårild, Staffan and Marcus, Claude and Olbers, Torsten},
  issn         = {1532-9453},
  language     = {eng},
  number       = {1},
  pages        = {11--16},
  publisher    = {Elsevier},
  series       = {Seminars in Pediatric Surgery},
  title        = {Laparoscopic Roux-en-Y gastric bypass in adolescents with morbid obesity-Surgical aspects and clinical outcome.},
  url          = {http://dx.doi.org/10.1053/j.sempedsurg.2013.10.015},
  volume       = {23},
  year         = {2014},
}