Roux-en-Y gastric bypass surgery in adolescents with morbid obesity: A retrospective case series

The prevalence of adolescent obesity has increased dramatically over the past several decades. The objective of this investigation was to evaluate the outcomes of Roux-en-Y gastric bypass (RYGB) surgery in adolescents.

This retrospective case series examined 15 adolescents aged 17 years or younger who underwent RYGB surgery. Of the 15 adolescents, 11 presented with severe obesity-related co-morbidities at the time of surgery. The median follow-up was 84 months.

The mean Roux limb length was 80.9 ± 46.32 cm, and the mean duration of initial hospitalisation was 6.1 ± 1.19 days. Thirteen (86.67%) patients lost weight, whereas two (13.33%) gained weight. The mean weight loss was 53.67 ± 25.6 kg, while the mean weight gain was 14.5 ± 0.7 kg. The mean time to weight loss was 60.8 ± 48 months, and the mean time to weight gain was 132 ± 9.8 months. Regarding post-operative complications, 3 (20%) patients developed incisional hernia, 3 (20%) patients experienced symptomatic cholelithiasis, 2 (13.33%) patients developed protein-calorie malnutrition and 1 (6.67%) patient had a small-bowel obstruction. Six (40%) patients had no reported complications.

RYGB operation is a promising intervention for adolescents with morbid obesity, promoting significant weight loss and alleviating related co-morbidities. However, careful evaluation and preparation are crucial to prepare adolescents for lifestyle changes post-surgery. With proper support and follow-up, RYGB can empower young individuals to achieve and maintain healthier weights, offering a promising solution in the fight against adolescent obesity.