David Gutierrez Blanco, MD, David Romero Funes, MD, Cristian Milla Matute, MD, Anthony Campbell, BSc, Emanuele Lo Menzo, MD, PhD, FACS, Rama Ganga, MD, Samuel Szomstein, MD, FACS, Raul J Rosenthal, MD, FACS. Cleveland Clinic Florida
INTRODUCTION: Bariatric surgery in the adult population is recognized as one of the most effective treatments for obesity and its comorbidities. Nonetheless, the safety, efficacy, and substantial outcomes of bariatric surgery in young adults are still not well documented. The aim of our study is to evaluate the safety and efficacy of Laparoscopic Sleeve Gastrectomy (LSG) in young adults (<29 years old) versus older adults (≥ 30 years old).
METHODS: We retrospectively reviewed all patients who underwent bariatric surgery at our institution from 2010 to. Propensity score matching was used in order to balance covariates, matching for common demographics and comorbidities between the younger patient population (<29 years old) and the control group (>30 years old). All tests were two-tailed and performed at a significant level of 0.05. Statistical software R, version 3.3.1(2016-06-21) was used for all analyses.
RESULTS: Of 1330 patients, 40.07% (n=533) met our inclusion criteria after matching. We found 12.63% (n=119) patients under 29 years old and 43.94% (n=414) patients greater or equal to 30 years old (control group). We observed that our younger population distribution was predominantly Caucasian and Female, 70.58 % (n=84) and 77.31% (n=92) respectively. The mean age was 24.63±3.49 years with a preoperative Body mass index (BMI) of 45.93 ± 7.3kg/m2 in the younger group compared to 50.08 ± 3.49 years and a BMI of 44.88 ± 6.16 kg/m2 in the control group.
Diagnosis of diabetes and hypertension were present in 22.68% (n=27) and 10.08% (n=12) of our younger group, respectively. No statistical significance was found when assessing the percentage of BMI loss (% EBMIL) at 3 and 6 months follow-up as shown in table 1. When comparing the %EBMIL at 12 months follow-up, the younger group had 10.39% more EBMIL than the control group (P=0.0231). When assessing post-operative complications we observed no statistical significance.
CONCLUSIONS: Bariatric surgery is equally effective and safe in young adult population demonstrating a significant better %EBMIL at 12 months following bariatric surgery. Following prospective studies are needed to elucidate the resolution and behavior of comorbidities in a younger bariatric population.
Presented at the SAGES 2017 Annual Meeting in Houston, TX.
Abstract ID: 87059
Program Number: P548
Presentation Session: iPoster Session (Non CME)
Presentation Type: Poster