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J Pediatr. 2001 Apr;138(4):499-504.

Gastric bypass surgery in adolescents with morbid obesity.

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Department of Pediatrics, St Peter's University Hospital, UMDNJ-Robert Wood Johnson School of Medicine, New Brunswick, New Jersey 08903-0019, USA.



The objective was to review retrospectively all patients undergoing bariatric surgery at a large university medical center.


Ten adolescents 17 years or younger underwent gastric bypass surgery; 7 of 10 adolescents had severe obesity-related morbidities. Follow-up >1 year was present in 9 of 10 adolescents.


The average weight before surgery was 148 +/- 37 kg. Postoperative recovery was uneventful in all adolescents; 9 of 10 adolescents had weight loss in excess of 30 kg (mean weight loss was 53.6 +/- 25.6 kg). Obesity related morbidities resolved in all adolescents. Five adolescents had mild iron deficiency anemia, and 3 adolescents had transient folate deficiency. Late complications requiring operative treatment occurred in 4 of the adolescents.


Gastric bypass surgery was an effective method for weight reduction in morbidly obese adolescents. The procedure was well tolerated, with few unanticipated side effects. Gastric bypass remains a last resort option for severely obese adolescents for whom other dietary and behavioral approaches to weight loss have been unsuccessful.

[Indexed for MEDLINE]

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