Trends in adolescent bariatric surgery evaluated by UHC database collection

Pradeep Pallati, Shelby Buettner, Anton Simorov, Avishai Meyer, Abhijit Shaligram, Dmitry Oleynikov

Research output: Contribution to journalArticle

34 Citations (Scopus)

Abstract

Background: With increasing childhood obesity, adolescent bariatric surgery has been increasingly performed. We used a national database to analyze current trends in laparoscopic bariatric surgery in the adolescent population and related short-term outcomes. Methods: Discharge data from the University Health System Consortium (UHC) database was accessed using International Classification of Disease codes during a 36 month period. UHC is an alliance of more than 110 academic medical centers and nearly 250 affiliate hospitals. All adolescent patients between 13 and 18 years of age, with the assorted diagnoses of obesity, who underwent laparoscopic adjustable gastric banding (LAGB), sleeve gastrectomy (SG), and laparoscopic Roux-en-Y gastric bypass (LRYGB) were evaluated. The main outcome measures analyzed were morbidity, mortality, length of hospital stay (LOS), overall cost, intensive care unit (ICU) admission rate, and readmission rate. These outcomes were compared to those of adult bariatric surgery. Results: Adolescent laparoscopic bariatric surgery was performed on 329 patients. At the same time, 49,519 adult bariatric surgeries were performed. One hundred thirty-six adolescent patients underwent LAGB, 47 had SG, and 146 patients underwent LRYGB. LAGB has shown a decreasing trend (n = 68, 34, and 34), while SG has shown an increasing trend (n = 8, 15, and 24) over the study years. LRYGB remained stable (n = 44, 60, and 42) throughout the study period. The individual and summative morbidity and mortality rates for these procedures were zero. Compared to adult bariatric surgery, 30 day in-hospital morbidity (0 vs. 2.2 %, p <0.02), the LOS (1.99 ± 1.37 vs. 2.38 ± 3.19, p <0.03), and 30 day readmission rate (0.30 vs. 2.02 %, p <0.05) are significantly better for adolescent bariatric surgery, while the ICU admission rate (9.78 vs. 6.30 %, p <0.02) is higher and overall cost ($9,375 ± 6,452 vs. $9,600 ± 8,016, p = 0.61) is comparable. Conclusion: Trends in adolescent laparoscopic bariatric surgery reveal the increased use of sleeve gastrectomy and adjustable gastric banding falling out of favor.

Original languageEnglish
Pages (from-to)3077-3081
Number of pages5
JournalSurgical Endoscopy
Volume26
Issue number11
DOIs
StatePublished - Nov 2012
Externally publishedYes

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Bariatric Surgery
Databases
Health
Gastrectomy
Gastric Bypass
Length of Stay
Stomach
Laparoscopy
Morbidity
Intensive Care Units
Accidental Falls
Costs and Cost Analysis
Mortality
Pediatric Obesity
International Classification of Diseases
Obesity
Outcome Assessment (Health Care)

All Science Journal Classification (ASJC) codes

  • Surgery

Cite this

Pallati, P., Buettner, S., Simorov, A., Meyer, A., Shaligram, A., & Oleynikov, D. (2012). Trends in adolescent bariatric surgery evaluated by UHC database collection. Surgical Endoscopy, 26(11), 3077-3081. https://doi.org/10.1007/s00464-012-2318-0

Trends in adolescent bariatric surgery evaluated by UHC database collection. / Pallati, Pradeep; Buettner, Shelby; Simorov, Anton; Meyer, Avishai; Shaligram, Abhijit; Oleynikov, Dmitry.

In: Surgical Endoscopy, Vol. 26, No. 11, 11.2012, p. 3077-3081.

Research output: Contribution to journalArticle

Pallati, P, Buettner, S, Simorov, A, Meyer, A, Shaligram, A & Oleynikov, D 2012, 'Trends in adolescent bariatric surgery evaluated by UHC database collection', Surgical Endoscopy, vol. 26, no. 11, pp. 3077-3081. https://doi.org/10.1007/s00464-012-2318-0
Pallati P, Buettner S, Simorov A, Meyer A, Shaligram A, Oleynikov D. Trends in adolescent bariatric surgery evaluated by UHC database collection. Surgical Endoscopy. 2012 Nov;26(11):3077-3081. https://doi.org/10.1007/s00464-012-2318-0
Pallati, Pradeep ; Buettner, Shelby ; Simorov, Anton ; Meyer, Avishai ; Shaligram, Abhijit ; Oleynikov, Dmitry. / Trends in adolescent bariatric surgery evaluated by UHC database collection. In: Surgical Endoscopy. 2012 ; Vol. 26, No. 11. pp. 3077-3081.
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abstract = "Background: With increasing childhood obesity, adolescent bariatric surgery has been increasingly performed. We used a national database to analyze current trends in laparoscopic bariatric surgery in the adolescent population and related short-term outcomes. Methods: Discharge data from the University Health System Consortium (UHC) database was accessed using International Classification of Disease codes during a 36 month period. UHC is an alliance of more than 110 academic medical centers and nearly 250 affiliate hospitals. All adolescent patients between 13 and 18 years of age, with the assorted diagnoses of obesity, who underwent laparoscopic adjustable gastric banding (LAGB), sleeve gastrectomy (SG), and laparoscopic Roux-en-Y gastric bypass (LRYGB) were evaluated. The main outcome measures analyzed were morbidity, mortality, length of hospital stay (LOS), overall cost, intensive care unit (ICU) admission rate, and readmission rate. These outcomes were compared to those of adult bariatric surgery. Results: Adolescent laparoscopic bariatric surgery was performed on 329 patients. At the same time, 49,519 adult bariatric surgeries were performed. One hundred thirty-six adolescent patients underwent LAGB, 47 had SG, and 146 patients underwent LRYGB. LAGB has shown a decreasing trend (n = 68, 34, and 34), while SG has shown an increasing trend (n = 8, 15, and 24) over the study years. LRYGB remained stable (n = 44, 60, and 42) throughout the study period. The individual and summative morbidity and mortality rates for these procedures were zero. Compared to adult bariatric surgery, 30 day in-hospital morbidity (0 vs. 2.2 {\%}, p <0.02), the LOS (1.99 ± 1.37 vs. 2.38 ± 3.19, p <0.03), and 30 day readmission rate (0.30 vs. 2.02 {\%}, p <0.05) are significantly better for adolescent bariatric surgery, while the ICU admission rate (9.78 vs. 6.30 {\%}, p <0.02) is higher and overall cost ($9,375 ± 6,452 vs. $9,600 ± 8,016, p = 0.61) is comparable. Conclusion: Trends in adolescent laparoscopic bariatric surgery reveal the increased use of sleeve gastrectomy and adjustable gastric banding falling out of favor.",
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AU - Oleynikov, Dmitry

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N2 - Background: With increasing childhood obesity, adolescent bariatric surgery has been increasingly performed. We used a national database to analyze current trends in laparoscopic bariatric surgery in the adolescent population and related short-term outcomes. Methods: Discharge data from the University Health System Consortium (UHC) database was accessed using International Classification of Disease codes during a 36 month period. UHC is an alliance of more than 110 academic medical centers and nearly 250 affiliate hospitals. All adolescent patients between 13 and 18 years of age, with the assorted diagnoses of obesity, who underwent laparoscopic adjustable gastric banding (LAGB), sleeve gastrectomy (SG), and laparoscopic Roux-en-Y gastric bypass (LRYGB) were evaluated. The main outcome measures analyzed were morbidity, mortality, length of hospital stay (LOS), overall cost, intensive care unit (ICU) admission rate, and readmission rate. These outcomes were compared to those of adult bariatric surgery. Results: Adolescent laparoscopic bariatric surgery was performed on 329 patients. At the same time, 49,519 adult bariatric surgeries were performed. One hundred thirty-six adolescent patients underwent LAGB, 47 had SG, and 146 patients underwent LRYGB. LAGB has shown a decreasing trend (n = 68, 34, and 34), while SG has shown an increasing trend (n = 8, 15, and 24) over the study years. LRYGB remained stable (n = 44, 60, and 42) throughout the study period. The individual and summative morbidity and mortality rates for these procedures were zero. Compared to adult bariatric surgery, 30 day in-hospital morbidity (0 vs. 2.2 %, p <0.02), the LOS (1.99 ± 1.37 vs. 2.38 ± 3.19, p <0.03), and 30 day readmission rate (0.30 vs. 2.02 %, p <0.05) are significantly better for adolescent bariatric surgery, while the ICU admission rate (9.78 vs. 6.30 %, p <0.02) is higher and overall cost ($9,375 ± 6,452 vs. $9,600 ± 8,016, p = 0.61) is comparable. Conclusion: Trends in adolescent laparoscopic bariatric surgery reveal the increased use of sleeve gastrectomy and adjustable gastric banding falling out of favor.

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