Division of Pediatric Surgery, Yale School of Medicine, 330 Cedar St, FMB 131, New Haven, CT, 06510, USA.
Department of Surgery, Yale School of Medicine, 330 Cedar St, New Haven, CT, 06510, USA.
Obes Surg. 2024 Aug;34(8):2965-2973. doi: 10.1007/s11695-024-07374-3. Epub 2024 Jun 27.
Laparoscopic sleeve gastrectomy (LSG) is currently the most common bariatric procedure performed in adolescents and young adults in the United States (USA), but there are limited data available on long-term postoperative weight outcomes in these patients. This single-institution US study follows longitudinal weight data in a diverse group of patients undergoing LSG at age 25 years or younger.
We retrospectively reviewed records of all patients 25 years or younger who underwent LSG at our institution between 2013 and 2020. All weight data documented in the medical record through January 2023 was included. We calculated weight change postoperatively as percent total weight loss (%TWL) relative to preoperative weight.
One hundred forty-one patients underwent LSG, at a mean age of 23.1 years. Within this cohort, 56.1% identified as non-Hispanic Black or Hispanic, and 39.7% had private health insurance. The mean %TWL at weight nadir was 28.5% at a mean of 1.35 years postoperatively. The mean long-term %TWL (in patients with ≥ 4 years of follow-up) was 11.8% at a mean of 5.6 years postoperatively, with 43 of the 84 patients with long-term weight data (51%) within 10% of their preoperative weight at most recent follow-up.
Adolescents and young adults undergoing LSG at our institution had weight nadir comparable to published results during the first 1 to 2 years postoperatively, but the majority developed significant weight recurrence over the ensuing years. Our findings highlight the need for adjuvant weight loss strategies to improve the durability of weight outcomes after LSG in this population.
腹腔镜袖状胃切除术（LSG）目前是美国青少年和年轻成年人最常见的减肥手术，但关于这些患者术后长期体重结果的数据有限。这项美国单机构研究对在 25 岁或以下年龄在我们机构接受 LSG 的患者进行了长期体重数据随访。
我们回顾性地审查了我们机构在 2013 年至 2020 年间接受 LSG 的所有 25 岁或以下患者的记录。所有病历中记录的体重数据均包括在内。我们通过将术后体重变化计算为相对于术前体重的百分比总减重（%TWL）。
141 名患者接受了 LSG，平均年龄为 23.1 岁。在这一组中，56.1%为非西班牙裔黑人和西班牙裔，39.7%有私人医疗保险。体重最低点的平均%TWL 为 28.5%，术后平均 1.35 年。平均长期%TWL（在有≥4 年随访的患者中）为术后 5.6 年时的 11.8%，84 名长期体重数据患者中有 43 名（51%）在最近一次随访时体重与术前相差 10%以内。
我们机构接受 LSG 的青少年和年轻成年人在术后 1 至 2 年内体重最低点与已发表的结果相当，但在随后的几年中，大多数患者体重出现明显反弹。我们的发现强调需要辅助减肥策略，以提高该人群 LSG 后体重结果的耐久性。
