Inpatient weight loss as a precursor to bariatric surgery for adolescents with extreme obesity: Optimizing bariatric surgery

Emily Koeck, Katherine Davenport, Leah C. Barefoot, Faisal G. Qureshi, Daniel Davidow, Evan P. Nadler

Research output: Contribution to journalArticle

6 Citations (Scopus)

Abstract

Background. As the obesity epidemic takes its toll on patients stricken with the disease and our health care system, debate continues regarding the use of weight loss surgery and its long-term consequences, especially for adolescents. One subset of patients regarding whom there is increased controversy is adolescents with extreme obesity (BMI > 60 kg/m2) because the risk of complications in this weight category is higher than for others undergoing bariatric surgery. Several strategies have been suggested for this patient group, including staged operations, combined operations, intragastric balloon use, and endoluminal sleeve placement. However, the device options are often not available to adolescents, and there are no data regarding staged or combined procedures in this age group. Methods. All adolescents with BMI >60 kg/m2 referred to our program were evaluated for inpatient medical weight loss prior to laparoscopic sleeve gastrectomy. The program utilizes a multidisciplinary approach with a protein-sparing modified fast diet, exercise, and behavioral modification. Results. Three patients completed the program, and each achieved significant preoperative weight loss through the inpatient program and successfully underwent bariatric surgery. Conclusions. Presurgical weight loss via an inpatient program for adolescents with a BMI >60 kg/m2 results in total weight loss comparable to a primary surgical procedure alone, with the benefit of decreasing the perioperative risk.

Original languageEnglish (US)
Pages (from-to)608-611
Number of pages4
JournalClinical Pediatrics
Volume52
Issue number7
DOIs
StatePublished - Jul 1 2013

Fingerprint

Bariatric Surgery
Weight Loss
Inpatients
Obesity
Gastrectomy
Age Groups
Exercise
Diet
Delivery of Health Care
Weights and Measures
Equipment and Supplies
Proteins

Keywords

  • bariatric surgeries
  • morbid obesity
  • weight reduction

ASJC Scopus subject areas

  • Pediatrics, Perinatology, and Child Health

Cite this

Inpatient weight loss as a precursor to bariatric surgery for adolescents with extreme obesity : Optimizing bariatric surgery. / Koeck, Emily; Davenport, Katherine; Barefoot, Leah C.; Qureshi, Faisal G.; Davidow, Daniel; Nadler, Evan P.

In: Clinical Pediatrics, Vol. 52, No. 7, 01.07.2013, p. 608-611.

Research output: Contribution to journalArticle

Koeck, Emily ; Davenport, Katherine ; Barefoot, Leah C. ; Qureshi, Faisal G. ; Davidow, Daniel ; Nadler, Evan P. / Inpatient weight loss as a precursor to bariatric surgery for adolescents with extreme obesity : Optimizing bariatric surgery. In: Clinical Pediatrics. 2013 ; Vol. 52, No. 7. pp. 608-611.
@article{f4400129ec54413b88b526c88c73b212,
title = "Inpatient weight loss as a precursor to bariatric surgery for adolescents with extreme obesity: Optimizing bariatric surgery",
abstract = "Background. As the obesity epidemic takes its toll on patients stricken with the disease and our health care system, debate continues regarding the use of weight loss surgery and its long-term consequences, especially for adolescents. One subset of patients regarding whom there is increased controversy is adolescents with extreme obesity (BMI > 60 kg/m2) because the risk of complications in this weight category is higher than for others undergoing bariatric surgery. Several strategies have been suggested for this patient group, including staged operations, combined operations, intragastric balloon use, and endoluminal sleeve placement. However, the device options are often not available to adolescents, and there are no data regarding staged or combined procedures in this age group. Methods. All adolescents with BMI >60 kg/m2 referred to our program were evaluated for inpatient medical weight loss prior to laparoscopic sleeve gastrectomy. The program utilizes a multidisciplinary approach with a protein-sparing modified fast diet, exercise, and behavioral modification. Results. Three patients completed the program, and each achieved significant preoperative weight loss through the inpatient program and successfully underwent bariatric surgery. Conclusions. Presurgical weight loss via an inpatient program for adolescents with a BMI >60 kg/m2 results in total weight loss comparable to a primary surgical procedure alone, with the benefit of decreasing the perioperative risk.",
keywords = "bariatric surgeries, morbid obesity, weight reduction",
author = "Emily Koeck and Katherine Davenport and Barefoot, {Leah C.} and Qureshi, {Faisal G.} and Daniel Davidow and Nadler, {Evan P.}",
year = "2013",
month = "7",
day = "1",
doi = "10.1177/0009922813482516",
language = "English (US)",
volume = "52",
pages = "608--611",
journal = "Clinical Pediatrics",
issn = "0009-9228",
publisher = "SAGE Publications Inc.",
number = "7",

}

TY - JOUR

T1 - Inpatient weight loss as a precursor to bariatric surgery for adolescents with extreme obesity

T2 - Optimizing bariatric surgery

AU - Koeck, Emily

AU - Davenport, Katherine

AU - Barefoot, Leah C.

AU - Qureshi, Faisal G.

AU - Davidow, Daniel

AU - Nadler, Evan P.

PY - 2013/7/1

Y1 - 2013/7/1

N2 - Background. As the obesity epidemic takes its toll on patients stricken with the disease and our health care system, debate continues regarding the use of weight loss surgery and its long-term consequences, especially for adolescents. One subset of patients regarding whom there is increased controversy is adolescents with extreme obesity (BMI > 60 kg/m2) because the risk of complications in this weight category is higher than for others undergoing bariatric surgery. Several strategies have been suggested for this patient group, including staged operations, combined operations, intragastric balloon use, and endoluminal sleeve placement. However, the device options are often not available to adolescents, and there are no data regarding staged or combined procedures in this age group. Methods. All adolescents with BMI >60 kg/m2 referred to our program were evaluated for inpatient medical weight loss prior to laparoscopic sleeve gastrectomy. The program utilizes a multidisciplinary approach with a protein-sparing modified fast diet, exercise, and behavioral modification. Results. Three patients completed the program, and each achieved significant preoperative weight loss through the inpatient program and successfully underwent bariatric surgery. Conclusions. Presurgical weight loss via an inpatient program for adolescents with a BMI >60 kg/m2 results in total weight loss comparable to a primary surgical procedure alone, with the benefit of decreasing the perioperative risk.

AB - Background. As the obesity epidemic takes its toll on patients stricken with the disease and our health care system, debate continues regarding the use of weight loss surgery and its long-term consequences, especially for adolescents. One subset of patients regarding whom there is increased controversy is adolescents with extreme obesity (BMI > 60 kg/m2) because the risk of complications in this weight category is higher than for others undergoing bariatric surgery. Several strategies have been suggested for this patient group, including staged operations, combined operations, intragastric balloon use, and endoluminal sleeve placement. However, the device options are often not available to adolescents, and there are no data regarding staged or combined procedures in this age group. Methods. All adolescents with BMI >60 kg/m2 referred to our program were evaluated for inpatient medical weight loss prior to laparoscopic sleeve gastrectomy. The program utilizes a multidisciplinary approach with a protein-sparing modified fast diet, exercise, and behavioral modification. Results. Three patients completed the program, and each achieved significant preoperative weight loss through the inpatient program and successfully underwent bariatric surgery. Conclusions. Presurgical weight loss via an inpatient program for adolescents with a BMI >60 kg/m2 results in total weight loss comparable to a primary surgical procedure alone, with the benefit of decreasing the perioperative risk.

KW - bariatric surgeries

KW - morbid obesity

KW - weight reduction

UR - http://www.scopus.com/inward/record.url?scp=84878858067&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=84878858067&partnerID=8YFLogxK

U2 - 10.1177/0009922813482516

DO - 10.1177/0009922813482516

M3 - Article

C2 - 23532489

AN - SCOPUS:84878858067

VL - 52

SP - 608

EP - 611

JO - Clinical Pediatrics

JF - Clinical Pediatrics

SN - 0009-9228

IS - 7

ER -