Clinical Aspects after Bariatric Procedures in Adolescent: Long Time Follow-Up

Introduction: The role of bariatric surgery and its role in adolescent is still under discussion worldwide. The aim of this study is to report clinical outcomes of bariatric procedures in adolescents with a medium and long time follow-up.

Materials and Methods: We retrospectively analyzed consecutive data added into the Italian register of the society for bariatric surgery(period 2000-2012). We evaluated all patients treated with a mean follow-up of 3 years. Inclusion and exclusion criteria were created. All patients were aged between 13 and 18 yrs. We evaluated and compared clinical outcomes between procedures.

Results: After reviewing medical charts, 173 patients were considered for the study; 85 patients were treated with AGB, 47 with intragastric balloon, 26 with SG and other 15 patients with malassorbptive techniques. Among clinical data, there was a statistical difference in term of %EWL between techniques only after 1 year post-op (p>0.05); at 5 years, considering the % of patients studied, sleeve gastrectomy had the best %EWL respect to other techniques (p<0.05)and the best %of improvement about comorbidities; at 5 year more than 90% resolved their comorbidities especially hypertension, dyspnea, orthopedic problems and dyspnea.

Conclusions: This study is the first reporting a National survey in adolescent; more than 80% of patients are followed till 4 years post-op but only few patients (less than 5%) till 10 years. Our results demonstrated that sleeve gastrectomy in adolescent is safe and had a better %EWL respect to other techniques with a good clinical outcomes.