Bariatric procedures including Roux-en-Y gastric bypass in French adolescents

Bariatric procedures including Roux-en-Y gastric bypass in French adolescents

In France, approximately 100 obese adolescents undergo a bariatric procedure every year. To date, only data from laparoscopic adjustable gastric banding (LAGB) or sleeve gastrectomy (SG) have been published. Our objective was to report the outcomes of a series of French obese adolescents who underwe...

Full description

Saved in:
Bibliographic Details
Published in:Archives de pédiatrie : organe officiel de la Société française de pédiatrie Vol. 30; no. 6; pp. 408 - 414
Main Authors: Lacrosniere, Sophie Mayer, Dubern, Béatrice, Pelta, Sarah, Karsenty, Alexandra, Bernert, Christine, Chantereau, Hélène, Oderda, Leslie, Lemoine, Anais, Bouillot, Jean-Luc, Tounian, Patrick
Format: Journal Article
Language:English
Published: France Elsevier Masson SAS 01-08-2023
Subjects:
Adolescent
Adolescents
Adult
Bariatric surgery
France
Gastric Bypass - adverse effects
Gastric Bypass - methods
Humans
Laparoscopy
Obesity
Obesity, Morbid - surgery
Retrospective Studies
Roux-en-Y gastric bypass
Treatment Outcome
ALAT
CRP
T2DM
AHI
PPC
Roux-en-Y gastric bypass
RYGB
LDL-C
PSG
Bariatric surgery
HDL-C
SD
LAGB
SG
HBP
HOMA
ASAT
EWL
Adolescents
France
OSA
HbA1C
PTC
BMI
Online Access:Get full text
Tags: Add Tag
No Tags, Be the first to tag this record!
Description
Summary:In France, approximately 100 obese adolescents undergo a bariatric procedure every year. To date, only data from laparoscopic adjustable gastric banding (LAGB) or sleeve gastrectomy (SG) have been published. Our objective was to report the outcomes of a series of French obese adolescents who underwent a Roux-en-Y gastric bypass (RYGB). We included all obese adolescents aged 13–19 years who underwent RYGB in our department from 2008 with at least 2 years of follow-up after surgery. We analyzed the course of the anthropometric data, comorbidities, and subsequent adverse events. Starting in September 2008, out of 93 obese adolescents who requested bariatric surgery, 39 (35%) underwent a bariatric procedure. From these adolescents, 2-year follow-up data were available for 26 patients who had a RYGB. At the time of surgery, the mean patient age was 17.4 years (standard deviation [SD]=1.4) and the body mass index (BMI) was 52.0 kg/m² (SD=7.8). One patient was lost to follow-up. At 2 years after surgery,  the mean BMI was 35.7 kg/m² (SD=9.4) with a mean decrease in BMI of 31.9% (SD=11.6). Comorbidities improved for most of the patients: high blood pressure (2/2) and pseudotumor cerebri (1/1) were cured after surgery, and dyslipidemia improved globally. The complications observed were anemia, abdominal pain requiring celioscopy (n = 2), and oxalic nephrolithiasis. Only one third of the obese adolescents requesting bariatric surgery were operated on. Our series including exclusively obese adolescents who underwent an RYGB presents the results of this technique on weight loss and comorbidities; mechanical and nutritional complications remain uncommon. These results are similar to those obtained in studies of adult patients.
Bibliography:ObjectType-Article-1
SourceType-Scholarly Journals-1
ObjectType-Feature-2
content type line 23
ISSN:0929-693X
1769-664X
DOI:10.1016/j.arcped.2023.06.006