Roux-en-Y gastric bypass surgery in adolescents with morbid obesity: A retrospective case series

Abstract

INTRODUCTION: The prevalence of adolescent obesity has increased dramatically over the past several decades. The objective of this investigation was to evaluate the outcomes of Roux-en-Y gastric bypass (RYGB) surgery in adolescents. PATIENTS AND METHODS: This retrospective case series examined 15 adolescents aged 17 years or younger who underwent RYGB surgery. Of the 15 adolescents, 11 presented with severe obesity-related co-morbidities at the time of surgery. The median follow-up was 84 months. RESULTS: The mean Roux limb length was 80.9 ± 46.32 cm, and the mean duration of initial hospitalisation was 6.1 ± 1.19 days. Thirteen (86.67%) patients lost weight, whereas two (13.33%) gained weight. The mean weight loss was 53.67 ± 25.6 kg, while the mean weight gain was 14.5 ± 0.7 kg. The mean time to weight loss was 60.8 ± 48 months, and the mean time to weight gain was 132 ± 9.8 months. Regarding post-operative complications, 3 (20%) patients developed incisional hernia, 3 (20%) patients experienced symptomatic cholelithiasis, 2 (13.33%) patients developed protein-calorie malnutrition and 1 (6.67%) patient had a small-bowel obstruction. Six (40%) patients had no reported complications. CONCLUSION: RYGB operation is a promising intervention for adolescents with morbid obesity, promoting significant weight loss and alleviating related co-morbidities. However, careful evaluation and preparation are crucial to prepare adolescents for lifestyle changes post-surgery. With proper support and follow-up, RYGB can empower young individuals to achieve and maintain healthier weights, offering a promising solution in the fight against adolescent obesity.