The impact of parental bariatric surgery and patient age on laparoscopic sleeve gastrectomy outcomes in adolescents

Jun Tashiro; Elise McKenna; Emily C Alberto; Eleanor R Mackey; Evan P Nadler

doi:10.1007/s00464-022-09149-2

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The impact of parental bariatric surgery and patient age on laparoscopic sleeve gastrectomy outcomes in adolescents

Journal article

Peer reviewed

The impact of parental bariatric surgery and patient age on laparoscopic sleeve gastrectomy outcomes in adolescents

Jun Tashiro, Elise McKenna, Emily C Alberto, Eleanor R Mackey and Evan P Nadler

Surgical endoscopy, Vol.36(10), pp.7392-7398

10/2022

DOI: 10.1007/s00464-022-09149-2

PMID: 35403902

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Abstract

Adolescent obesity is multifactorial, but parental history is the most significant risk factor. Laparoscopic sleeve gastrectomy (LSG) is part of the multidisciplinary approach to adolescent weight loss. We aimed to evaluate the effects of parental history of bariatric surgery, as well as age at time of operation, on adolescents who underwent LSG at our institution. We performed a retrospective review of patients, aged 10 to 19 years, who underwent LSG from January 2010 to December 2019. The adolescent bariatric surgical dataset maintained by our group was used to obtain patient demographics, weight, body mass index (BMI), and parental history of bariatric surgery. Among 328 patients, 76 (23.2%) had parents who had previously undergone bariatric surgery. These patients were significantly heavier by weight (p = 0.012) at the time of operation but had no difference in postoperative weight loss. When all patients were compared by age at operation (< 16 years, n = 102, ≥ 16 years, n = 226), there were few differences in outcomes. LSG is an effective approach to surgical weight loss in adolescents. Patient age should not be a barrier to weight loss surgery, especially among patients with a parental history of obesity. By intervening at a younger age, the metabolic sequelae of obesity may be reduced.

Adolescent

Bariatric Surgery

Body Mass Index

Gastrectomy

Humans

Laparoscopy

Obesity, Morbid - surgery

Parents

Pediatric Obesity - surgery

Retrospective Studies

Treatment Outcome

Weight Loss

Details

Title: Subtitle: The impact of parental bariatric surgery and patient age on laparoscopic sleeve gastrectomy outcomes in adolescents
Creators: Jun Tashiro - NYU Langone Health
Elise McKenna - Children's National
Emily C Alberto - Children's National
Eleanor R Mackey - Children's National
Evan P Nadler - Children's National
Resource Type: Journal article
Publication Details: Surgical endoscopy, Vol.36(10), pp.7392-7398
DOI: 10.1007/s00464-022-09149-2
PMID: 35403902
NLM abbreviation: Surg Endosc
ISSN: 0930-2794
eISSN: 1432-2218
Language: English
Date published: 10/2022
Academic Unit: Surgery
Record Identifier: 9985243566702771

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