PMID- 31049849
OWN - NLM
STAT- MEDLINE
DCOM- 20200511
LR  - 20200511
IS  - 1708-0428 (Electronic)
IS  - 0960-8923 (Linking)
VI  - 29
IP  - 9
DP  - 2019 Sep
TI  - A 5-Year Follow-up in Children and Adolescents Undergoing One-Anastomosis Gastric 
      Bypass (OAGB) at a European IFSO Excellence Center (EAC-BS).
PG  - 2739-2744
LID - 10.1007/s11695-019-03908-2 [doi]
AB  - BACKGROUND: The children and adolescent population with obesity has increased 
      worldwide, both in developing areas and in developed countries. Consequently, the 
      prevalence of morbid obesity among this population has also increased, leading to 
      an exponential growth of bariatric approaches in this population. Many surgeons 
      fear eventual nutritional sequelae after malabsorptive approaches and prefer 
      restrictive or mixed procedures. METHODS: A retrospective review of all the 
      morbidly obese patients between 13 and 19 years, undergoing a one-anastomosis 
      gastric bypass (OAGB) as bariatric procedure between 2004 and 2012, was 
      performed. RESULTS: A total of 39 patients were included, 8 males (20.5%) and 31 
      females (79.5%), with a mean age of 17.8 +/- 2 years (range 13-19 years). Mean 
      preoperative weight was 114.3 +/- 20.4 kg and mean BMI 42.2 +/- 5.9 kg/m(2). 
      Preoperative comorbidities include only type 2 diabetes mellitus (T2DM) in 7.9% 
      of the patients, hypertension in 10.3%, and dyslipidemia in 23.1%. Five years 
      after surgery, mean BMI was 25.9 +/- 5.3 kg/m(2) and total weight loss 
      32.1 +/- 15.7%. Remission rate of T2DM, hypertension and dyslipidemia was 100%. All 
      the patients received multivitamin and vitamin D supplementation. Anemia 
      secondary to iron deficiency occurred in one female, requiring intravenous iron 
      supplementation during 1 year and later on oral supplementation. CONCLUSIONS: 
      OAGB is a valid alternative for long-term weight loss and remission of 
      comorbidities in childhood and adolescence. No cases of malnutrition or growth 
      disorders were observed.
FAU - Carbajo, Miguel A
AU  - Carbajo MA
AD  - Centre of Excellence for the Study and Treatment of Obesity and Diabetes, Calle 
      Estacion, No. 12, 1, 47004, Valladolid, Spain.
FAU - Gonzalez-Ramirez, Gilberto
AU  - Gonzalez-Ramirez G
AD  - Centre of Excellence for the Study and Treatment of Obesity and Diabetes, Calle 
      Estacion, No. 12, 1, 47004, Valladolid, Spain.
FAU - Jimenez, Jose Maria
AU  - Jimenez JM
AD  - Centre of Excellence for the Study and Treatment of Obesity and Diabetes, Calle 
      Estacion, No. 12, 1, 47004, Valladolid, Spain.
FAU - Luque-de-Leon, Enrique
AU  - Luque-de-Leon E
AD  - Centre of Excellence for the Study and Treatment of Obesity and Diabetes, Calle 
      Estacion, No. 12, 1, 47004, Valladolid, Spain.
FAU - Ortiz-de-Solorzano, Javier
AU  - Ortiz-de-Solorzano J
AD  - Centre of Excellence for the Study and Treatment of Obesity and Diabetes, Calle 
      Estacion, No. 12, 1, 47004, Valladolid, Spain.
FAU - Castro, Maria Jose
AU  - Castro MJ
AD  - Centre of Excellence for the Study and Treatment of Obesity and Diabetes, Calle 
      Estacion, No. 12, 1, 47004, Valladolid, Spain.
FAU - Ruiz-Tovar, Jaime
AU  - Ruiz-Tovar J
AUID- ORCID: 0000-0002-8505-2605
AD  - Centre of Excellence for the Study and Treatment of Obesity and Diabetes, Calle 
      Estacion, No. 12, 1, 47004, Valladolid, Spain. jruiztovar@gmail.com.
LA  - eng
PT  - Journal Article
PL  - United States
TA  - Obes Surg
JT  - Obesity surgery
JID - 9106714
SB  - IM
MH  - Adolescent
MH  - Child
MH  - Comorbidity
MH  - *Gastric Bypass/adverse effects/methods/statistics & numerical data
MH  - Humans
MH  - *Obesity, Morbid/epidemiology/surgery
MH  - Retrospective Studies
MH  - Treatment Outcome
MH  - Weight Loss
OTO - NOTNLM
OT  - Adolescence
OT  - Childhood
OT  - Long-term follow-up
OT  - Malabsorptive procedures
OT  - OAGB
OT  - Obesity
EDAT- 2019/05/03 06:00
MHDA- 2020/05/12 06:00
CRDT- 2019/05/04 06:00
PHST- 2019/05/03 06:00 [pubmed]
PHST- 2020/05/12 06:00 [medline]
PHST- 2019/05/04 06:00 [entrez]
AID - 10.1007/s11695-019-03908-2 [pii]
AID - 10.1007/s11695-019-03908-2 [doi]
PST - ppublish
SO  - Obes Surg. 2019 Sep;29(9):2739-2744. doi: 10.1007/s11695-019-03908-2.