Bariatric procedures including Roux-en-Y gastric bypass in French adolescents
Copyright © 2023 French Society of Pediatrics. Published by Elsevier Masson SAS. All rights reserved..
INTRODUCTION: 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).
METHODS: 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.
RESULTS: 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.
CONCLUSION: 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.
| Medienart: |
E-Artikel |
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| Erscheinungsjahr: |
2023 |
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| Erschienen: |
2023 |
| Enthalten in: |
Zur Gesamtaufnahme - volume:30 |
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| Enthalten in: |
Archives de pediatrie : organe officiel de la Societe francaise de pediatrie - 30(2023), 6 vom: 03. Aug., Seite 408-414 |
| Sprache: |
Englisch |
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| Beteiligte Personen: |
Lacrosniere, Sophie Mayer [VerfasserIn] |
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| Links: |
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| Themen: |
Adolescents |
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| Anmerkungen: |
Date Completed 21.07.2023 Date Revised 21.07.2023 published: Print-Electronic Citation Status MEDLINE |
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| doi: |
10.1016/j.arcped.2023.06.006 |
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| funding: |
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| Förderinstitution / Projekttitel: |
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| 100 | 1 | |a Lacrosniere, Sophie Mayer |e verfasserin |4 aut | |
| 245 | 1 | 0 | |a Bariatric procedures including Roux-en-Y gastric bypass in French adolescents |
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| 500 | |a Date Revised 21.07.2023 | ||
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| 500 | |a Citation Status MEDLINE | ||
| 520 | |a Copyright © 2023 French Society of Pediatrics. Published by Elsevier Masson SAS. All rights reserved. | ||
| 520 | |a INTRODUCTION: 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) | ||
| 520 | |a METHODS: 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 | ||
| 520 | |a RESULTS: 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 | ||
| 520 | |a CONCLUSION: 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 | ||
| 650 | 4 | |a Journal Article | |
| 650 | 4 | |a Adolescents | |
| 650 | 4 | |a Bariatric surgery | |
| 650 | 4 | |a France | |
| 650 | 4 | |a Roux-en-Y gastric bypass | |
| 700 | 1 | |a Dubern, Béatrice |e verfasserin |4 aut | |
| 700 | 1 | |a Pelta, Sarah |e verfasserin |4 aut | |
| 700 | 1 | |a Karsenty, Alexandra |e verfasserin |4 aut | |
| 700 | 1 | |a Bernert, Christine |e verfasserin |4 aut | |
| 700 | 1 | |a Chantereau, Hélène |e verfasserin |4 aut | |
| 700 | 1 | |a Oderda, Leslie |e verfasserin |4 aut | |
| 700 | 1 | |a Lemoine, Anais |e verfasserin |4 aut | |
| 700 | 1 | |a Bouillot, Jean-Luc |e verfasserin |4 aut | |
| 700 | 1 | |a Tounian, Patrick |e verfasserin |4 aut | |
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