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Trends in adolescent bariatric surgery evaluated by UHC database collection
Pradeep Pallati1, Shelby Buettner, Anton Simorov
1General Surgery, University of Nebraska Medical Center, Omaha, NE 985126, USA.
Surgical Endoscopy
|May 15, 2012
Summary
Adolescent bariatric surgery shows a shift towards sleeve gastrectomy, with zero morbidity and mortality. Outcomes like lower readmission rates and shorter hospital stays in adolescents compare favorably to adults.
Area of Science:
- Bariatric Surgery
- Adolescent Health
- Surgical Trends
Background:
- Childhood obesity rates are rising, leading to increased adolescent bariatric surgery.
- Analysis of national database trends in adolescent laparoscopic bariatric surgery and outcomes is crucial.
Purpose of the Study:
- To analyze current trends in adolescent laparoscopic bariatric surgery.
- To evaluate short-term outcomes of these procedures in adolescents.
- To compare adolescent outcomes with adult bariatric surgery.
Main Methods:
- Utilized University Health System Consortium (UHC) discharge data over 36 months.
- Included adolescent patients (13-18 years) undergoing laparoscopic adjustable gastric banding (LAGB), sleeve gastrectomy (SG), and laparoscopic Roux-en-Y gastric bypass (LRYGB).
- Compared outcomes (morbidity, mortality, LOS, cost, ICU, readmission) to adult bariatric surgery.
Main Results:
- Sleeve gastrectomy (SG) use is increasing in adolescents, while laparoscopic adjustable gastric banding (LAGB) is decreasing.
- Zero morbidity and mortality were observed in adolescent procedures.
- Adolescent surgery showed significantly better 30-day in-hospital morbidity, length of stay (LOS), and readmission rates compared to adults.
Conclusions:
- Adolescent laparoscopic bariatric surgery demonstrates a clear trend towards increased utilization of sleeve gastrectomy.
- Laparoscopic adjustable gastric banding is becoming less common in this population.
- Adolescent bariatric surgery exhibits favorable short-term outcomes compared to adult procedures.
