Article1 min read·Published Jan 2014Older

Perioperative outcomes of adolescents undergoing bariatric surgery: the Teen-Longitudinal Assessment of Bariatric Surgery (Teen-LABS) study

Part of Adolescent Bariatric Surgery 39 items

pubmed.ncbi.nlm.nih.gov

Michael Helmrath

Importance: Severe obesity in childhood is a major health problem with few effective treatments. Weight-loss surgery (WLS) is being used to treat severely obese adolescents, although with very limited data regarding surgical safety for currently used, minimally invasive procedures. Objective: To assess the preoperative clinical characteristics and perioperative safety outcomes of severely obese adolescents undergoing WLS. Design, Setting, And Participants: This prospective, multisite observational study enrolled patients from February 28, 2007, through December 30, 2011. Consecutive patients aged 19 years or younger who were approved to undergo WLS (n = 277) were offered enrollment into the study at 5 academic referral centers in the United States; 13 declined participation and 22 did not undergo surgery after enrollment, thus the final analysis cohort consisted of 242 individuals. There were no withdrawals. Main Outcomes And Measures: This analysis examined preoperative anthropometrics, comorbid conditions, and major and minor complications occurring within 30 days of operation. All data were collected in a standardized fashion. Reoperations and hospital readmissions were adjudicated by independent reviewers to assess relatedness to the WLS procedure. Results: The mean (SD) age of participants was 17.1 (1.6) years and the median body mass index (calculated as weight in kilograms divided by height in meters squared) was 50.5. Fifty-one percent demonstrated 4 or more major com

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Article · Jan 2014 · 1 min read

In brief

This prospective multisite study evaluated perioperative safety and preoperative characteristics in 242 severely obese adolescents undergoing weight-loss surgery across 5 U.S. academic centers. The cohort had mean age 17.1 years and median BMI 50.5, with over half presenting 4+ major comorbidities, providing critical safety data for minimally invasive bariatric procedures in this population.

Written by the GCMD Library team from the article.

Michael Helmrath

Statements in this article

Severe obesity in childhood is a major health problem with few effective treatments.
EstablishedImportance
Weight-loss surgery is being used to treat severely obese adolescents with very limited data regarding surgical safety for currently used minimally invasive procedures.
EstablishedImportance
The study enrolled consecutive patients aged 19 years or younger who were approved to undergo weight-loss surgery at 5 academic referral centers in the United States from February 28, 2007, through December 30, 2011.
ResearchDesign, Setting, And Participants
Of 277 patients offered enrollment, 13 declined participation and 22 did not undergo surgery after enrollment, resulting in a final analysis cohort of 242 individuals.
ResearchDesign, Setting, And Participants
The mean age of participants was 17.1 years with a standard deviation of 1.6 years.
ResearchResults
The median body mass index of participants was 50.5.
ResearchResults
Fifty-one percent of participants demonstrated 4 or more major comorbid conditions.
ResearchResults