The increasing incidence of adolescent bariatric surgery

Morbid obesity continues to be a significant problem within the United States, as overweight/obesity rates are nearing 33%. Bariatric surgery has had success in treating obesity in adults and is becoming a viable treatment option for obese adolescents. We studied 1615 inpatient admissions for childr...

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Bibliographic Details
Published in:Journal of pediatric surgery Vol. 48; no. 12; pp. 2401 - 2407
Main Authors: Zwintscher, Nathan P., Azarow, Kenneth S., Horton, John D., Newton, Christopher R., Martin, Matthew J.
Format: Journal Article
Language:English
Published: United States Elsevier Inc 01.12.2013
Subjects:
Adolescent
Bariatric surgery
Bariatric Surgery - methods
Bariatric Surgery - statistics & numerical data
Child
Databases, Factual
Female
Gastric bypass
Humans
Logistic Models
Male
Morbid obesity
Obesity, Morbid - surgery
Pediatric
Pediatric Obesity - surgery
Pediatrics
Postoperative Complications - epidemiology
Surgery
Treatment Outcome
United States
Young Adult
United States
Morbid obesity
Pediatric
Bariatric surgery
Adolescent
Gastric bypass
ISSN:0022-3468, 1531-5037, 1531-5037
Online Access:Get full text
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Summary:Morbid obesity continues to be a significant problem within the United States, as overweight/obesity rates are nearing 33%. Bariatric surgery has had success in treating obesity in adults and is becoming a viable treatment option for obese adolescents. We studied 1615 inpatient admissions for children ≤20years of age undergoing a bariatric procedure for morbid obesity in 2009 using the Kids' Inpatient Database (KID). Patients had a principal diagnosis of obesity and a bariatric procedure listed as one of their first 5 procedures. Procedures (open gastric bypass, laparoscopic gastric bypass, sleeve gastrectomy, laparoscopic gastroplasty, and laparoscopic gastric band) and complications were defined by ICD-9 codes. There were 90 open gastric bypasses, 906 laparoscopic gastric bypasses, 150 sleeve gastrectomies, 18 laparoscopic gastroplasties, and 445 laparoscopic gastric bandings. The length of stay for each procedure was 2.44, 2.20, 2.33, 1.10, and 1.02days, respectively (P<0.001). The complication rates were 3.3%, 3.5%, 0.7%, 0.0%, 0.2%, respectively (P=0.004). Bariatric surgery is an increasingly utilized option for the treatment of morbid obesity among adolescents. The procedures can be performed safely as evidenced by low complication rates. Additional long-term follow-up is necessary.
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ISSN:0022-3468
1531-5037
1531-5037
DOI:10.1016/j.jpedsurg.2013.08.015