• Skip to main content
  • Skip to header right navigation
  • Skip to site footer

Log in
  • Search
    • Search All SAGES Content
    • Search SAGES Guidelines
    • Search the Video Library
    • Search the Image Library
    • Search the Abstracts Archive
www.sages.org

SAGES

Reimagining surgical care for a healthier world

  • Home
    • Search
    • SAGES Home
    • SAGES Foundation Home
  • About
    • Awards
    • Who Is SAGES?
    • Leadership
    • Our Mission
    • Advocacy
    • Committees
      • SAGES Board of Governors
      • Officers and Representatives of the Society
      • Committee Chairs and Co-Chairs
      • Committee Rosters
      • SAGES Past Presidents
  • Meetings
    • SAGES NBT Innovation Weekend
    • SAGES Annual Meeting
      • 2026 Scientific Session Call for Abstracts
      • 2026 Emerging Technology Call for Abstracts
    • CME Claim Form
    • SAGES Past, Present, Future, and Related Meeting Information
    • SAGES Related Meetings & Events Calendar
  • Join SAGES!
    • Membership Application
    • Membership Benefits
    • Membership Types
      • Requirements and Applications for Active Membership in SAGES
      • Requirements and Applications for Affiliate Membership in SAGES
      • Requirements and Applications for Associate Active Membership in SAGES
      • Requirements and Applications for Candidate Membership in SAGES
      • Requirements and Applications for International Membership in SAGES
      • Requirements for Medical Student Membership
    • Member Spotlight
    • Give the Gift of SAGES Membership
  • Patients
    • Join the SAGES Patient Partner Network (PPN)
    • Patient Information Brochures
    • Healthy Sooner – Patient Information for Minimally Invasive Surgery
    • Choosing Wisely – An Initiative of the ABIM Foundation
    • All in the Recovery: Colorectal Cancer Alliance
    • Find A SAGES Surgeon
  • Publications
    • Clinical / Practice / Training Guidelines, Statements, and Standards of Practice
    • Sustainability in Surgical Practice
    • SAGES Stories Podcast
    • Patient Information Brochures
    • Patient Information From SAGES
    • TAVAC – Technology and Value Assessments
    • Surgical Endoscopy and Other Journal Information
    • SAGES Manuals
    • MesSAGES – The SAGES Newsletter
    • COVID-19 Archive
    • Troubleshooting Guides
  • Education
    • Wellness Resources – You Are Not Alone
    • Avoid Opiates After Surgery
    • SAGES Subscription Catalog
    • SAGES TV: Home of SAGES Surgical Videos
    • The SAGES Safe Cholecystectomy Program
    • Masters Program
    • Resident and Fellow Opportunities
      • MIS Fellows Course
      • SAGES Robotics Residents and Fellows Courses
      • SAGES Free Resident Webinar Series
      • Fluorescence-Guided Surgery Course for Fellows
      • Fellows’ Career Development Course
    • SAGES S.M.A.R.T. Enhanced Recovery Program
    • SAGES @ Cine-Med Products
      • SAGES Top 21 Minimally Invasive Procedures Every Practicing Surgeon Should Know
      • SAGES Pearls Step-by-Step
      • SAGES Flexible Endoscopy 101
    • SAGES OR SAFETY Video Activity
  • Opportunities
    • Fellowship Recognition Opportunities
    • SAGES Advanced Flexible Endoscopy Area of Concentrated Training (ACT) SEAL
    • Multi-Society Foregut Fellowship Certification
    • Research Opportunities
    • FLS
    • FES
    • FUSE
    • Jobs Board
    • SAGES Go Global: Global Affairs and Humanitarian Efforts
  • OWLS/FLS
You are here: Home / Abstracts / Comparing 30-day Outcomes of Bariatric Surgery in Adolescents vs. Young Adults Using the 2015 MBSAQIP Database

Comparing 30-day Outcomes of Bariatric Surgery in Adolescents vs. Young Adults Using the 2015 MBSAQIP Database

Raul Sebastian1, Melanie Howell2, Ambar Mehta2, Gina Adrales2, Alisa Coker2, Thomas Magnuson2, Michael Schweitzer2, Hien T Nguyen2. 1George Washington, 2Johns Hopkins

Introduction: Bariatric surgery in adolescents has been slow to gain acceptance.  This study compares the 30-day postoperative outcomes of bariatric surgery between adolescent (13-21 years) and young adult (>21-45 years) patients using the 2015 Metabolic and Bariatric Surgery Accreditation and Quality Improvement Program (MBSAQIP) database.

Methods: Demographic data, comorbidities, operative time, readmissions, reoperations, interventions, hospital stay and postoperative complications were compared in both groups. Subsequent analysis addressing reasons for readmissions comparing both groups was performed. Univariate analyses and multivariate logistical regression models were used to evaluate outcomes of adolescent vs young adult patients at MBSAQIP accredited centers.

Results: A total of 85,820 patients were included (2,509 adolescents and 83,311 adults). LSG was the most common bariatric procedure in both groups (67.4% vs 61.2%, p<0.001) followed by LRYGB (24.59% vs 25.63%, p= 0.241) and Laparoscopic adjustable gastric banding (4.22% vs 2.74%, p <0.001). Young adult patients frequently had coexisting comorbidities specifically diabetes, hypertension, GERD, hyperlipidemia, sleep apnea, and chronic steroid use, with an ASA score of 3 or greater (p < 0.001); whereas, the mean BMI in the adolescent cohort was higher (47.38+/-8.34 vs 45.71+/-9.09, p<0.001). Overall 30-day complication rates were similar between groups; with no significant differences in mortality or hospital stay. Significantly shorter operative times were observed in the adolescent group (83.6+/-46 vs 88.1+/-51, p <0.001). In Univariate analysis blood transfusions and VTE rates were significantly lower in the adolescent group but there was no difference after risk-adjusted logistic regression analysis. Analysis of readmission data showed lower rates in adolescents compared to young adults (3.67% vs 4.44% p=0.06). However, adolescents are more frequently readmitted secondary to gallstone disease (6.3% vs 1.9%, p<0.05). The most common reason for readmissions in both groups was nausea and vomiting with fluid/electrolyte depletion, followed by abdominal pain.

Conclusion: Adolescent bariatric surgery is feasible and safe, with outcomes similar to that of young adults. LSG is currently the most common bariatric procedure performed in adolescents which is reasonable given the relative lack of co-morbid conditions within this group. Nausea and vomiting are the most common reason of readmission in both groups, but gallstone disease is significantly higher in adolescents, suggesting that this population should be carefully screened for gallbladder disease preoperatively. Further studies regarding long-term results are needed to elucidate long-term outcomes, such as the durability of comorbidity resolutions in adolescent patients.


Presented at the SAGES 2017 Annual Meeting in Houston, TX.

Abstract ID: 87817

Program Number: P604

Presentation Session: iPoster Session (Non CME)

Presentation Type: Poster

55

Share this:

  • Click to share on X (Opens in new window) X
  • Click to share on Facebook (Opens in new window) Facebook
  • Click to share on LinkedIn (Opens in new window) LinkedIn
  • Click to share on Pinterest (Opens in new window) Pinterest
  • Click to share on WhatsApp (Opens in new window) WhatsApp
  • Click to share on Reddit (Opens in new window) Reddit
  • Click to share on Pocket (Opens in new window) Pocket
  • Click to share on Mastodon (Opens in new window) Mastodon
  • Click to share on Threads (Opens in new window) Threads
  • Click to share on Bluesky (Opens in new window) Bluesky

Related


sages_adbutler_leaderboard

Hours & Info

11300 West Olympic Blvd, Suite 600
Los Angeles, CA 90064

1-310-437-0544

[email protected]

Monday – Friday
8am to 5pm Pacific Time

Find Us Around the Web!

  • Bluesky
  • X
  • Instagram
  • Facebook
  • YouTube

Copyright © 2025 · SAGES · All Rights Reserved

Important Links

Healthy Sooner: Patient Information

SAGES Guidelines, Statements, & Standards of Practice

SAGES Manuals