open access

Vol 64, No 1 (2013)
Original papers
Published online: 2013-02-28
Submitted: 2013-05-14
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Personal history of obesity matters. Adolescent adiposity may influence the late results of gastric bypass performed in adults

Adam Durczynski, Dariusz Szymanski, Michal Nowicki, Piotr Hogendorf, Justyna Chalubinska-Fendler, Katarzyna Wojciechowska-Durczynska, Leszek Czupryniak, Janusz Strzelczyk
Endokrynologia Polska 2013;64(1):2-6.

open access

Vol 64, No 1 (2013)
Original papers
Published online: 2013-02-28
Submitted: 2013-05-14

Abstract

Introduction: The influence of adolescent obesity on weight loss following bariatric surgery in adults has not been evaluated. The purpose of this study was to determine the impact of prior adolescent obesity on long-term weight changes following Roux-en-Y gastric bypass (RYGB) in adulthood.
Material and methods:
This single centre retrospective cohort study evaluated changes in body mass index (BMI) after RYGB within 9–13 years. Questionnaires were sent by post to patients (n = 147) operated on between January 1999 and December 2003 in the Department of General and Transplant Surgery of Medical University, Lodz, Poland. Long-term data was obtained from 33.33% (n = 49, mean age 46.1 ± 10.7 years). Preoperative, nadir and actual BMI and differences between these values were calculated. Data was analysed with a cut-off BMI at 18 years old of 30 and 35 units (U).
Results: Patients with a BMI of more than 30 and 35 U in adulthood regained more weight after initial achievement of nadir total weight loss compared to their only adult obese counterparts. Preoperative BMI varied by weight at 18 years old (p = 0.02), while value and time to nadir postoperative BMI and actual BMI were comparable.
Conclusion: Adolescent obesity may be a risk factor for long-term RYGB failure. Surgery cannot be definitively curative in this group of patients, and continued active conservative treatment is required.

Abstract

Introduction: The influence of adolescent obesity on weight loss following bariatric surgery in adults has not been evaluated. The purpose of this study was to determine the impact of prior adolescent obesity on long-term weight changes following Roux-en-Y gastric bypass (RYGB) in adulthood.
Material and methods:
This single centre retrospective cohort study evaluated changes in body mass index (BMI) after RYGB within 9–13 years. Questionnaires were sent by post to patients (n = 147) operated on between January 1999 and December 2003 in the Department of General and Transplant Surgery of Medical University, Lodz, Poland. Long-term data was obtained from 33.33% (n = 49, mean age 46.1 ± 10.7 years). Preoperative, nadir and actual BMI and differences between these values were calculated. Data was analysed with a cut-off BMI at 18 years old of 30 and 35 units (U).
Results: Patients with a BMI of more than 30 and 35 U in adulthood regained more weight after initial achievement of nadir total weight loss compared to their only adult obese counterparts. Preoperative BMI varied by weight at 18 years old (p = 0.02), while value and time to nadir postoperative BMI and actual BMI were comparable.
Conclusion: Adolescent obesity may be a risk factor for long-term RYGB failure. Surgery cannot be definitively curative in this group of patients, and continued active conservative treatment is required.
Get Citation

Keywords

adolescent obesity; late result of bariatric surgery; Roux-en-Y gastric bypass

About this article
Title

Personal history of obesity matters. Adolescent adiposity may influence the late results of gastric bypass performed in adults

Journal

Endokrynologia Polska

Issue

Vol 64, No 1 (2013)

Pages

2-6

Published online

2013-02-28

Bibliographic record

Endokrynologia Polska 2013;64(1):2-6.

Keywords

adolescent obesity
late result of bariatric surgery
Roux-en-Y gastric bypass

Authors

Adam Durczynski
Dariusz Szymanski
Michal Nowicki
Piotr Hogendorf
Justyna Chalubinska-Fendler
Katarzyna Wojciechowska-Durczynska
Leszek Czupryniak
Janusz Strzelczyk

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