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Trending Weight Loss Patterns in Obese and Super Obese Adolescents: Does Laparoscopic Sleeve Gastrectomy Provide Equivalent Outcomes in both Groups?

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Abstract

Background

Many factors, including preoperative weight, may determine final weight loss after bariatric surgery; however, their proportional contribution is unclear. To such end, we evaluated weight loss patterns among obese adolescents.

Methods

We evaluated 57 adolescents who underwent laparoscopic sleeve gastrectomy from 2011 to 2017. Data collection included demographics, anthropometrics, and comorbidities and was done over a 3-year follow-up period. Statistical analysis was performed using Student’s t test and repeated measures ANOVA.

Results

In the morbidly obese (MO) group, 82% were female, while 52% were male in the super obese (SMO) group (P < 0.0059). While 13/34 patients in the obese group achieved > 60% percent excess body weight loss (%EBWL), only 3/23 super obese patients achieved > 60% EBWL (P = 0.0695). %EBWL at 1-year follow-up significantly differed between the obese and super obese groups, 61.7 ± 14.6% and 47.7 ± 14.9% respectively (P = 0.035). The average BMI in the obese group was 29.8 at 1 year and 41.3 in the super obese group. There was a significant difference in the rate of excess weight loss (%EBWL/month) between the two groups (P < 0.01). There was good comorbidity resolution (about 70%) in both groups after surgery.

Conclusion

Comorbidity resolution after sleeve gastrectomy is excellent in the adolescent population irrespective of initial BMI. Consideration should be given to earlier bariatric intervention in SMO adolescents to facilitate return to near normal BMI. Focus on education of referral sources, such as community pediatricians and family practitioners to facilitate early bariatric evaluation should be considered. Weight loss in postsurgical SMO patients should be carefully monitored and adjunctive interventions should be considered.

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Authors and Affiliations

  1. Albert Einstein College of Medicine, 1300 Morris Park Ave, Bronx, NY, 10461, USA

    Abdullah Norain, Mohammad Arafat & Sathyaprasad Burjonrappa

  2. Montefiore Medical Center, 111 East 210th Street, Bronx, NY, 10467-2401, USA

    Sathyaprasad Burjonrappa

  3. USF Health, Morsani College of Medicine, Tampa General Hospital, 1 Tampa General Circle, G 441, Tampa, FL, 33606, USA

    Sathyaprasad Burjonrappa

Authors
  1. Abdullah Norain
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  2. Mohammad Arafat
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  3. Sathyaprasad Burjonrappa
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Correspondence to Sathyaprasad Burjonrappa.

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The authors declare that they have no conflict of interest.

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Statement of Informed Consent

This was a retrospective study and IRB approval with HIPPA compliance was obtained from the institution for the study.

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This was a retrospective study and no human or animal was harmed in the study.

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Norain, A., Arafat, M. & Burjonrappa, S. Trending Weight Loss Patterns in Obese and Super Obese Adolescents: Does Laparoscopic Sleeve Gastrectomy Provide Equivalent Outcomes in both Groups?. OBES SURG 29, 2511–2516 (2019). https://doi.org/10.1007/s11695-019-03867-8

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  • DOI: https://doi.org/10.1007/s11695-019-03867-8

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