Weight loss after sleeve gastrectomy in developmentally delayed adolescents and young adults
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Read the article on pubmed.ncbi.nlm.nih.gov ↗Article · Aug 2019 · 1 min read
In brief
In brief
This matched cohort study demonstrates that adolescents with developmental delay achieve comparable weight loss outcomes to neurotypical peers one year after sleeve gastrectomy, with 29% versus 26% BMI reduction respectively. The findings challenge assumptions about behavioral change requirements and support bariatric surgery as a viable treatment option for obese adolescents across the cognitive spectrum.
Written by the GCMD Library team from the article.
Statements in this article
Ten patients with developmental delay and 44 patients without developmental delay underwent sleeve gastrectomy between 2008 and 2017.
Among patients with developmental delay, 60% had mild cognitive impairment, 30% had moderate cognitive impairment, and 10% had severe cognitive impairment.
The study population was 81.5% female with a mean age of 17.3 years and a preoperative BMI of 48.6 kg/m2.
Preoperative BMI was similar between patients with and without developmental delay.
Percent BMI reduction at one year was -29% (95% confidence interval: -35 to -23) in patients with developmental delay and -26% (95% confidence interval: -29 to -23) in patients without developmental delay, with no significant difference between groups (P = .27).
Adolescents with developmental delay experience similar one-year weight loss outcomes after sleeve gastrectomy compared to those without developmental delay.