Aryan Meknat, MD, Gustavo Fernandez-Ranvier, MD, PhD, Vivienne Cabreza, MD, Kaitlyn E Billington, DNP, AGPCNPBC, Daniela E Guevara, MD, Daniel M Herron, MD, Matthew L Dong, MD, Abiba Salahou. Mount Sinai Hospital
Introduction: Adolescent obesity is currently an epidemic in the western world. With increased prevalence of obesity in the pediatric population, we are seeing a significantly younger onset of metabolic syndrome (1). This can potentially lead to a greater rise in premature morbidity and mortality from cardiovascular disease, as a result of prolonged exposure to modifiable risk factors (1,2). The objective of this study was to evaluate the effect of bariatric surgery on obese pediatric patients who had obesity-related co-morbidities.
Methods: We retrospectively reviewed our prospectively maintained database and included in the analysis pediatric patients (range; 15 to 21 years) who underwent a laparoscopic sleeve gastrectomy (LSG) or a laparoscopic roux-en-y gastric bypass (LRYGB) between 2011-2016, and those who subsequently followed up at one and two years. Attention was placed on those who had obesity-related co-morbidities (e.g. type 2 diabetes mellitus, dyslipidemia, and/or obstructive sleep apnea) and whether or not they were resolved after the bariatric procedure.
Results: The review yielded 70 patients; 12 (17.14%) had sleep apnea (necessitating the use of CPAP), 4 (4.28%) had type 2 DM, and 2 (2.85%) had dyslipidemia. Sixty eight percent of all co-morbidities were resolved at one-year follow-up with no recurrence at two years. These left three patients with sleep apnea, who all stated their need for CPAP was decreasing and one patient with type 2 DM after having undergone a LRYGB. There were fifty-two other pediatric patients who underwent either LSG or LRYGB that did not have an associated co-morbidity, and they did not develop one when seen on follow-up.
Conclusion: Our study showed 68% of patients had complete resolution of their pre-existing co-morbidities at one-year follow up. Evaluation at long-term follow up is necessary to determine if the rate of resolution improves or if there are recurrences. More studies are showing that obesity in the pediatric population is associated with mortality secondary to the associated co-morbidities. These same studies are showing safe and effective results of pediatric bariatric procedures with respect to weight loss and resolution of co-morbidities analogous to the adult population (1–3).
Presented at the SAGES 2017 Annual Meeting in Houston, TX.
Abstract ID: 95687
Program Number: P134
Presentation Session: Poster Session (Non CME)
Presentation Type: Poster