Original ArticleBaseline BMI is a Strong Predictor of Nadir BMI after Adolescent Gastric Bypass
Section snippets
Methods
The Follow-up of Adolescent Bariatric Surgery (FABS) study is a single-center, longitudinal outcome study of adolescents and young adults (age ≤21 years) seeking obesity treatment at Cincinnati Children's Hospital Medical Center (CCHMC). Patients enrolled in FABS who underwent laparoscopic RYGB surgery between August 2002 and January 2007 at CCHMC were included in this analysis. The operation was performed in a similar fashion in all patients with a side-to-side jejunojejunostomy and an
Results
Over a 5-year period (2002 to 2007), 61 consecutive adolescents underwent laparoscopic RYGB surgery. The mean BMI at baseline for these patients was 60.2 kg/m2, ranging from 41.4 to 95.5 kg/m2. Nearly 70% of this cohort was female, with 83.6% self-identified as white race (Table I). The mean age at surgery was 17.2 years (range, 13 to 23 years). The average time from initial baseline consultation to surgery was 5.0 months. The mean Roux length was 119.2 cm. Preoperative BMI groups were similar
Discussion
Extreme obesity is now recognized as major pediatric health problem. Recent estimates indicate that 4% of children ages 5 to 17 years in the United States are extremely obese.11 Nearly two thirds of such children have 2 or more cardiovascular risk factors, and a substantial proportion have significant metabolic comorbidities typically seen in adults, including obstructive sleep apnea, diabetes mellitus, nonalcoholic steatohepatitis, and significant hypertension and left ventricular hypertrophy.
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This study was funded in part by investigator-initiated grant support from Ethicon Endosurgical, Blue Ash, Ohio. The authors declare no conflicts of interest.