Gastric bypass surgery in adolescents with morbid obesity

J Pediatr. 2001 Apr;138(4):499-504. doi: 10.1067/mpd.2001.113043.

Abstract

Objective: The objective was to review retrospectively all patients undergoing bariatric surgery at a large university medical center.

Methods: Ten adolescents 17 years or younger underwent gastric bypass surgery; 7 of 10 adolescents had severe obesity-related morbidities. Follow-up >1 year was present in 9 of 10 adolescents.

Results: The average weight before surgery was 148 +/- 37 kg. Postoperative recovery was uneventful in all adolescents; 9 of 10 adolescents had weight loss in excess of 30 kg (mean weight loss was 53.6 +/- 25.6 kg). Obesity related morbidities resolved in all adolescents. Five adolescents had mild iron deficiency anemia, and 3 adolescents had transient folate deficiency. Late complications requiring operative treatment occurred in 4 of the adolescents.

Conclusion: Gastric bypass surgery was an effective method for weight reduction in morbidly obese adolescents. The procedure was well tolerated, with few unanticipated side effects. Gastric bypass remains a last resort option for severely obese adolescents for whom other dietary and behavioral approaches to weight loss have been unsuccessful.

MeSH terms

  • Adolescent
  • Female
  • Follow-Up Studies
  • Gastric Bypass* / methods
  • Humans
  • Male
  • Obesity, Morbid / surgery*
  • Patient Satisfaction
  • Postoperative Complications
  • Retrospective Studies
  • Weight Gain
  • Weight Loss