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Characterizing Bariatric Surgery Utilization and Complication Rates in the Adolescent Population
Mohammod Arafat1, Abdullah Norain1, Sathyaprasad Burjonrappa1
1Department of Pediatric Surgery, Montefiore Medical Center; Albert Einstein College of Medicine, Bronx, NY.
Bariatric surgery, particularly Sleeve Gastrectomy (SG), is increasingly used for adolescent morbid obesity. Complications are low but linked to longer hospital stays and higher readmission rates.
Area of Science:
- Bariatric Surgery
- Adolescent Health
- Obesity Management
Background:
- Morbid obesity significantly impacts adolescent health and comorbidities.
- Bariatric surgery offers effective weight loss and comorbidity improvement in adolescents.
- National Surgical Quality Improvement Program (NSQIP) data provides insights into adolescent bariatric surgery trends.
Purpose of the Study:
- To analyze bariatric surgery utilization patterns in adolescents (ages 18-21).
- To characterize complication rates associated with bariatric surgery in this population.
- To identify trends in surgical procedures over a decade.
Main Methods:
- Analysis of 2625 adolescent bariatric surgery cases from NSQIP (2005-2015).
- Examination of demographics, comorbidities, procedures, and 30-day outcomes.
- Statistical analysis of complication rates and associated factors.
Main Results:
- Sleeve Gastrectomy (SG) utilization surged from 11.4% (2010) to 66.6% (2015).
- Overall surgical complications were 2.4%, with infections being most common.
- Complications correlated with increased length of stay, reoperation, and readmission rates.
Conclusions:
- Sleeve Gastrectomy (SG) is the predominant bariatric procedure for adolescents.
- Adolescent bariatric surgery has low complication rates.
- Complications, though infrequent, necessitate longer hospitalizations and increased re-interventions.
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