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The impact of parental bariatric surgery and patient age on laparoscopic sleeve gastrectomy outcomes in adolescents

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Abstract

Background

Adolescent obesity is multifactorial, but parental history is the most significant risk factor. Laparoscopic sleeve gastrectomy (LSG) is part of the multidisciplinary approach to adolescent weight loss.

Objective

We aimed to evaluate the effects of parental history of bariatric surgery, as well as age at time of operation, on adolescents who underwent LSG at our institution.

Methods

We performed a retrospective review of patients, aged 10 to 19 years, who underwent LSG from January 2010 to December 2019. The adolescent bariatric surgical dataset maintained by our group was used to obtain patient demographics, weight, body mass index (BMI), and parental history of bariatric surgery.

Results

Among 328 patients, 76 (23.2%) had parents who had previously undergone bariatric surgery. These patients were significantly heavier by weight (p = 0.012) at the time of operation but had no difference in postoperative weight loss. When all patients were compared by age at operation (< 16 years, n = 102, ≥ 16 years, n = 226), there were few differences in outcomes.

Conclusions

LSG is an effective approach to surgical weight loss in adolescents. Patient age should not be a barrier to weight loss surgery, especially among patients with a parental history of obesity. By intervening at a younger age, the metabolic sequelae of obesity may be reduced.

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Funding

There were no sources of financial or material support for this study.

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Authors and Affiliations

  1. Division of Pediatric Surgery, New York University Langone Health, New York, NY, USA

    Jun Tashiro

  2. Division of Pediatric Surgery, Children’s National Hospital, Washington, DC, USA

    Elise McKenna, Emily C. Alberto, Eleanor R. Mackey & Evan P. Nadler

Authors
  1. Jun Tashiro
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  2. Elise McKenna
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  3. Emily C. Alberto
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  4. Eleanor R. Mackey
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  5. Evan P. Nadler
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Corresponding author

Correspondence to Jun Tashiro.

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Disclosures

Evan Nadler was paid by W.L. Gore Inc. to train those interested in building adolescent weight loss surgery programs. Drs. Jun Tashiro, Elise McKenna, Emily Alberto, and Eleanor Mackey have no conflicts of interest or financial ties to disclose.

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Tashiro, J., McKenna, E., Alberto, E.C. et al. The impact of parental bariatric surgery and patient age on laparoscopic sleeve gastrectomy outcomes in adolescents. Surg Endosc 36, 7392–7398 (2022). https://doi.org/10.1007/s00464-022-09149-2

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  • DOI: https://doi.org/10.1007/s00464-022-09149-2

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