Abstract
Background
The number of adolescent bariatric surgeries (ABS) performed from 2003 to 2009 has
been stable despite reports of an increase in adolescent morbid obesity.
Objectives
We sought to determine the trend in national ABS volume and the changes in obesity-associated
co-morbidities (OACM) from 2004 to 2011.
Setting
The Healthcare Cost and Utilization Project National Inpatient Sample database.
Methods
The National Inpatient Sample database was queried for adolescents undergoing Roux-en-Y
gastric bypass, adjustable gastric banding, or sleeve gastrectomy from 2004 to 2011.
Twelve OACM categories were created by ICD-9 code.
Results
From 2004 to 2011, an estimated 968 ABS cases per year were performed with no significant
change in yearly volumes. There was a significant decrease in the annual volume of
Roux-en-Y gastric bypasses (85.7%–54.4%, P<.001) with a significant increase in the number of adjustable gastric bandings (13.6%–18.9%,
P = .002) and sleeve gastrectomies (.7%–26.7%, P<.001). The mean patient age was 18.0±1.3 years, and 76% of patients were female.
The average number of OACMs per adolescent increased significantly, from 1.44±1.3
in 2004–2005 to 1.85±1.5 in 2010–2011 (P<.001). There was a significant increase over time in the prevalence of preoperative
obstructive sleep apnea (15.6%–26.8%, P<.001), hypertension (16.6%–24.2%, P = .006), hyperlipidemia (10.2%–15.4%, P = .021), and fatty liver disease (5.2%–10.5%, P = .004).
Conclusions
There was a significant increase in OACMs for patients undergoing ABS. Despite the
increase in OACMs, there has not been a concomitant increase in the number of ABS
performed as of 2011. Given the increase in OACMs, these data support efforts to address
barriers to adolescent bariatric surgical evaluation and treatment.
Keywords
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Article info
Publication history
Published online: September 19, 2015
Accepted:
September 16,
2015
Received:
September 4,
2015
Identification
Copyright
© 2015 American Society for Metabolic and Bariatric Surgery. Published by American Society for Metabolic and Bariatric Surgery All rights reserved.
