Abstract
Background: 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. Methods: We studied 1615 inpatient admissions for children ≤ 20 years 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. Results: 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 1.02 days, respectively (P <0.001). The complication rates were 3.3%, 3.5%, 0.7%, 0.0%, 0.2%, respectively (P = 0.004). Conclusions: 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.
| Original language | English (US) |
|---|---|
| Pages (from-to) | 2401-2407 |
| Number of pages | 7 |
| Journal | Journal of Pediatric Surgery |
| Volume | 48 |
| Issue number | 12 |
| DOIs | |
| State | Published - Dec 2013 |
| Externally published | Yes |
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Keywords
- Adolescent
- Bariatric surgery
- Gastric bypass
- Morbid obesity
- Pediatric
ASJC Scopus subject areas
- Surgery
- Pediatrics, Perinatology, and Child Health
Cite this
The increasing incidence of adolescent bariatric surgery. / Zwintscher, Nathan P.; Azarow, Kenneth; Horton, John D.; Newton, Christopher R.; Martin, Matthew J.
In: Journal of Pediatric Surgery, Vol. 48, No. 12, 12.2013, p. 2401-2407.Research output: Contribution to journal › Article
}
TY - JOUR
T1 - The increasing incidence of adolescent bariatric surgery
AU - Zwintscher, Nathan P.
AU - Azarow, Kenneth
AU - Horton, John D.
AU - Newton, Christopher R.
AU - Martin, Matthew J.
PY - 2013/12
Y1 - 2013/12
N2 - Background: 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. Methods: We studied 1615 inpatient admissions for children ≤ 20 years 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. Results: 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 1.02 days, respectively (P <0.001). The complication rates were 3.3%, 3.5%, 0.7%, 0.0%, 0.2%, respectively (P = 0.004). Conclusions: 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.
AB - Background: 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. Methods: We studied 1615 inpatient admissions for children ≤ 20 years 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. Results: 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 1.02 days, respectively (P <0.001). The complication rates were 3.3%, 3.5%, 0.7%, 0.0%, 0.2%, respectively (P = 0.004). Conclusions: 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.
KW - Adolescent
KW - Bariatric surgery
KW - Gastric bypass
KW - Morbid obesity
KW - Pediatric
UR - http://www.scopus.com/inward/record.url?scp=84889604852&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=84889604852&partnerID=8YFLogxK
U2 - 10.1016/j.jpedsurg.2013.08.015
DO - 10.1016/j.jpedsurg.2013.08.015
M3 - Article
VL - 48
SP - 2401
EP - 2407
JO - Journal of Pediatric Surgery
JF - Journal of Pediatric Surgery
SN - 0022-3468
IS - 12
ER -