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

Abdullah Norain, Mohammad Arafat, Sathyaprasad Burjonrappa

Research output: Contribution to journalArticle

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.

Original languageEnglish (US)
JournalObesity Surgery
DOIs
StatePublished - Jan 1 2019

Fingerprint

Gastrectomy
Weight Loss
Bariatrics
Comorbidity
Bariatric Surgery
Analysis of Variance
Referral and Consultation
Body Weight
Demography
Students
Education
Weights and Measures
Population

Keywords

  • Adolescence
  • Adolescent obesity
  • Bariatric surgery
  • Gastric bypass
  • Laparoscopic sleeve gastrectomy
  • Morbid obesity
  • Sleeve gastrectomy
  • Weight loss

ASJC Scopus subject areas

  • Surgery
  • Endocrinology, Diabetes and Metabolism
  • Nutrition and Dietetics

Cite this

Trending Weight Loss Patterns in Obese and Super Obese Adolescents : Does Laparoscopic Sleeve Gastrectomy Provide Equivalent Outcomes in both Groups? / Norain, Abdullah; Arafat, Mohammad; Burjonrappa, Sathyaprasad.

In: Obesity Surgery, 01.01.2019.

Research output: Contribution to journalArticle

@article{53086c0d4dc14806bfa56404fcd81b4e,
title = "Trending Weight Loss Patterns in Obese and Super Obese Adolescents: Does Laparoscopic Sleeve Gastrectomy Provide Equivalent Outcomes in both Groups?",
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.",
keywords = "Adolescence, Adolescent obesity, Bariatric surgery, Gastric bypass, Laparoscopic sleeve gastrectomy, Morbid obesity, Sleeve gastrectomy, Weight loss",
author = "Abdullah Norain and Mohammad Arafat and Sathyaprasad Burjonrappa",
year = "2019",
month = "1",
day = "1",
doi = "10.1007/s11695-019-03867-8",
language = "English (US)",
journal = "Obesity Surgery",
issn = "0960-8923",
publisher = "Springer New York",

}

TY - JOUR

T1 - Trending Weight Loss Patterns in Obese and Super Obese Adolescents

T2 - Does Laparoscopic Sleeve Gastrectomy Provide Equivalent Outcomes in both Groups?

AU - Norain, Abdullah

AU - Arafat, Mohammad

AU - Burjonrappa, Sathyaprasad

PY - 2019/1/1

Y1 - 2019/1/1

N2 - 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.

AB - 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.

KW - Adolescence

KW - Adolescent obesity

KW - Bariatric surgery

KW - Gastric bypass

KW - Laparoscopic sleeve gastrectomy

KW - Morbid obesity

KW - Sleeve gastrectomy

KW - Weight loss

UR - http://www.scopus.com/inward/record.url?scp=85065221253&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=85065221253&partnerID=8YFLogxK

U2 - 10.1007/s11695-019-03867-8

DO - 10.1007/s11695-019-03867-8

M3 - Article

AN - SCOPUS:85065221253

JO - Obesity Surgery

JF - Obesity Surgery

SN - 0960-8923

ER -