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adolescent bariatric surgery

Post-op kidney disease outcomes differ between teens and adults

Adolescents with T2DM experienced more hyperfiltration and earlier attenuation of their elevated urine albumin-to-creatinine ratio (UACR) after gastric bypass surgery compared with adults, according to the abstract, ‘Five-year kidney outcomes of bariatric surgery in adolescents compared with adults’, presented during the American Society of Nephrology's Kidney Week 2019.

Risk of long-term nutritional deficiencies for post-op teens

Adolescents who have bariatric surgery may develop nutritional deficiencies years after treatment that can result in health risks if not properly managed, according to researchers at the Cincinnati Children's Hospital Medical Center. In addition, they report gastric bypass appears to cause more nutritional disruption than vertical sleeve gastrectomy.

Biliary complication rates similar for adolescents and adults after LSG

Adolescents and teens experience biliary side effects after laparoscopic sleeve gastrectomy at about the same rate as adults. However, in younger patients, the symptoms are more likely to manifest as pancreatic inflammation or acute pancreatitis, according to a study presented at ObesityWeek 2019, ‘The Pattern of Biliary Disease Following Laparoscopic Sleeve Gastrectomy in Adolescents’, and published in the journal Obesity.

AAP calls for better access to bariatric surgery for adolescents

The American Academy of Pediatrics (APP) has called for greater access for adolescent metabolic and bariatric surgery in a new policy statement, ‘Pediatric Metabolic and Bariatric Surgery: Evidence, Barriers, and Best Practices’. The Academy describes severe obesity among children and adolescents as an "epidemic within an epidemic," one that portends a dramatically shortened life expectancy for today's generation compared to their parents.

MBSAQIP: Bariatric surgery is a safe option for young adolescents

Bariatric surgery is safe for teens with morbid obesity and is beneficial for young patients who would otherwise face potential lifelong risks of death associated with obesity, according to an abstract, ‘Current Trends and Outcomes of Adolescent Bariatric Surgery: an MBSAQIP Analysis’, presented at the American Academy of Pediatrics (AAP) 2019 National Conference & Exhibition.

Cognitive functioning not a predictor of weight-loss for adolescents

Young people with cognitive impairments and developmental disabilities (CI/DD), including Down syndrome, have similar weight-loss trajectories to those with typical cognitive function after bariatric surgery, according to a study by psychologists at Children's National Health System, Washington DC.

Which procedure is best for children with obesity?

The 23rd World Congress of the International Federation for the Surgery of Obesity and Metabolic Disorders was held in Dubai, United Arab Emirates, from September 26-29, 2018. Attended by over 2,500 bariatric specialist and allied healthcare professionals, participants were witness to a superb scientific programme focusing on the widest array of topics in the field of adiposity based chronic diseases, through postgraduate courses, symposia, expert talks and video and pre-recorded operations. Here are some of the highlights from the meeting.

Sleeve and RYGB maintain weight loss after adolescent surgery

Adolescents undergoing Roux-en-Y gastric bypass (RYGB) and sleeve gastrectomy (SG) experienced the greatest decline in BMI and in large part maintained this weight loss over the five-year follow-up time period, while patients undergoing adjustable gastric banding (AGB) lost the least weight, according to a studied lead by researchers from PCORnet Bariatric Study Collaborative.

Psychiatric disorders should not disqualify adolescents from surgery

Psychiatric disorders, a common comorbidity of severe obesity, especially for youth, should not disqualify an adolescent with severe obesity from bariatric surgery. According to a study published in Pediatrics, identifying anxiety, depressive disorders, ADHD, and eating disorders, while still a crucial pre-surgical evaluation step, had no predictive value for how much post-surgical weight loss an adolescent would achieve.

Bypass and sleeve beat AGB for adolescents undergoing surgery

Adolescents undergoing Roux-en-Y gastric bypass (RYGB) and sleeve gastrectomy (SG) have a greater decline in BMI, compared to those who had laparoscopic adjustable gastric banding (AGB), according to researchers reporting outcomes from the PCORnet Bariatric Study (PBS).  In addition, the authors also reported that the majority of patients maintained weight loss over the five-year follow-up time period, while patients undergoing AGB lost the least weight.

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