Weight Nadir and Long-Term Weight Outcomes After Laparoscopic Sleeve Gastrectomy in a Diverse Cohort of Adolescents and Young Adults

Authors

Matthew A. Hornick, Division of Pediatric Surgery, Yale School of Medicine, 330 Cedar St, FMB 131, New Haven, CT, 06510, USA. matthew.hornick@yale.edu.
Grace F. Chao, Department of Surgery, Yale School of Medicine, 330 Cedar St, New Haven, CT, 06510, USA.Follow
Lee D. Ying, Department of Surgery, Yale School of Medicine, 330 Cedar St, New Haven, CT, 06510, USA.Follow
Geoffrey Nadzam, Division of Bariatric & Minimally Invasive Surgery, Yale School of Medicine, 330 Cedar St, New Haven, CT, 06510, USA.Follow
Andrew Duffy, Division of Bariatric & Minimally Invasive Surgery, Yale School of Medicine, 330 Cedar St, New Haven, CT, 06510, USA.Follow
Saber Ghiassi, Division of Bariatric & Minimally Invasive Surgery, Yale School of Medicine, 330 Cedar St, New Haven, CT, 06510, USA.Follow
Elena Graetz, Department of Surgery, Yale School of Medicine, 330 Cedar St, New Haven, CT, 06510, USA.Follow
Karen E. Gibbs, Division of Bariatric & Minimally Invasive Surgery, Yale School of Medicine, 330 Cedar St, New Haven, CT, 06510, USA.Follow
John M. Morton, Division of Bariatric & Minimally Invasive Surgery, Yale School of Medicine, 330 Cedar St, New Haven, CT, 06510, USA.Follow

Document Type

Article

Publication Title

Obesity surgery

Abstract

INTRODUCTION: 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. METHODS: 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. RESULTS: 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. CONCLUSION: 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.

First Page

2965

Last Page

2973

DOI

10.1007/s11695-024-07374-3

Publication Date

8-1-2024

Recommended Citation

Hornick, Matthew A.; Chao, Grace F.; Ying, Lee D.; Nadzam, Geoffrey; Duffy, Andrew; Ghiassi, Saber; Graetz, Elena; Gibbs, Karen E.; and Morton, John M., "Weight Nadir and Long-Term Weight Outcomes After Laparoscopic Sleeve Gastrectomy in a Diverse Cohort of Adolescents and Young Adults" (2024). Surgery. 180.
https://scholar.bridgeporthospital.org/surgery/180

Identifier

38935262 (pubmed); 10.1007/s11695-024-07374-3 (doi); 10.1007/s11695-024-07374-3 (pii)