Division of Pediatric Surgery, New York University Langone Health, New York, NY, USA.
Division of Pediatric Surgery, Children's National Hospital, Washington, DC, USA.
Surg Endosc. 2022 Oct;36(10):7392-7398. doi: 10.1007/s00464-022-09149-2. Epub 2022 Apr 11.
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.
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.
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.
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.
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.
青少年肥胖是多因素的，但父母的肥胖史是最大的风险因素。腹腔镜袖状胃切除术（LSG）是青少年减肥多学科方法的一部分。
我们旨在评估父母有减重手术史，以及手术时的年龄，对在我们机构接受 LSG 的青少年的影响。
我们对 2010 年 1 月至 2019 年 12 月期间接受 LSG 的 10 至 19 岁患者进行了回顾性研究。我们小组维护的青少年减重手术数据集用于获取患者的人口统计学、体重、体重指数（BMI）和父母的减重手术史。
在 328 名患者中，有 76 名（23.2%）的父母之前接受过减重手术。这些患者在手术时体重明显更重（p = 0.012），但术后体重减轻没有差异。当按手术时的年龄（<16 岁，n = 102；≥16 岁，n = 226）比较所有患者时，结果差异不大。
LSG 是青少年手术减肥的有效方法。患者年龄不应成为减肥手术的障碍，尤其是在有肥胖父母史的患者中。通过在更年轻的时候进行干预，可以减少肥胖的代谢后果。
