Safety of Adolescent Roux-en-Y Gastric Bypass at an Adult Bariatric Center of Excellence

James V Siatras, DO, Kate Ziegler, MD, Anna Ibele, MD, Daniel Mwanza, DO, Christopher Evanson, MD, John Ditslear, MD, Samer G Mattar, MD. Department of General Surgery, Indiana University School of Medicine, Indianapolis, IN.


Background: While major pediatric surgery referral centers are publishing adolescent outcomes, there is little published data from adult centers of excellence which incorporate adolescents into their established bariatric programs. We propose to review the outcomes all adolescent patients between the ages of 13 and 21 who underwent laparoscopic roux en y gastric bypass (LRYGBP) at our center.

Methods: A retrospective chart analysis of all adolescents who had undergone LRYGBP from 2006-2011 and had at least a 12 month follow-up was done. Demographic information, % excess weight loss (%EWL), BMI loss, and complication rates were reviewed from patient charts and telephone interviews.

Results: Seven patients met our follow-up criteria (5 females and 2 males). Mean age was 19 years old (range 17-21 years old). The mean follow-up was 22 months (range of 12-36 months). Our patient population had a mean %EWL of 49%. Mean body mass index fell 32% (from 59 preoperatively to 40.) Four patients had complications from surgery, 3 of which were minor, while one patient required readmission for small bowel obstruction requiring lysis of adhesions. There were no deaths.

Conclusion: In our study, gastric bypass was safely performed and resulted in dramatic decrease in BMI. Our results show that adolescent bariatric surgery can be safely delivered in an adult bariatric center of excellence.

Session Number: Poster – Poster Presentations
Program Number: P483
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