Laparoscopic Roux-En-Y gastric bypass in morbidly obese adolescents

Ala Stanford, John Matthew Glascock, George M. Eid, Timothy Kane, Henri R. Ford, Sayeed Ikramuddin, Philip Schauer

Research output: Contribution to journalArticle

99 Scopus citations

Abstract

Background/Purpose: Obesity has contributed significantly to morbidity and premature deaths in the adolescent population. Because many patients do not respond to dietary modification, exercise regimens, or pharmacologic treatment, weight reduction surgery has become a viable alternative, although the morbidity of conventional gastric bypass has tempered enthusiasm for this approach. Experience with the laparoscopic approach has not been reported previously. The authors examined the outcome of adolescents undergoing laparoscopic Roux-En-Y gastric bypass (lap RYGB). Methods: Medical records of patients less than 20 years of age (n = 4; 3 girls, 1 boy) who had undergone lap RYGB for morbid obesity were reviewed. All patients met National Institute of Health criteria for bariatric surgery. Outcome variables examined included weight; body mass index (BMI); hospital length of stay (LOS); comorbid conditions; and tolerance of a regular diet. Mean time to follow-up was 17 months. Results: All procedures were completed laparoscopically. There were no complications. The average LOS was 2 days. Patients with greater than 20-month follow-up lost an average of 87% of their excess body weight and had nearly complete resolution of comorbidities (including hypertriglyceridemia, hypercholesterolemia, asthma, and gastroesophageal reflux disease). Conclusion: Laparoscopic gastric bypass is a safe alternative in morbidly obese adolescents who have not responded to medical therapy.

Original languageEnglish (US)
Pages (from-to)430-433
Number of pages4
JournalJournal of Pediatric Surgery
Volume38
Issue number3
DOIs
StatePublished - Mar 1 2003
Externally publishedYes

Keywords

  • Adolescents
  • Laparoscopic Roux-en-Y gastric bypass
  • Outcome analysis

ASJC Scopus subject areas

  • Surgery
  • Pediatrics, Perinatology, and Child Health

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    Stanford, A., Glascock, J. M., Eid, G. M., Kane, T., Ford, H. R., Ikramuddin, S., & Schauer, P. (2003). Laparoscopic Roux-En-Y gastric bypass in morbidly obese adolescents. Journal of Pediatric Surgery, 38(3), 430-433. https://doi.org/10.1053/jpsu.2003.50074