B. Farber1, S. Burjonrappa1 1Montefiore Medical Center,Pediatric Surgery,Bronx, NY, USA
Purpose:
Obesity rates have been increasing in adolescents (14-21 years) over the past 30 years, and bariatric surgery has been increasingly used to facilitate weight loss and optimize health in this age group. We reviewed preoperative nutritional parameters in these patients to identify nutritional deficiencies that will need to be carefully addressed in the pre and post operative phases.
Methods:
We retrospectively reviewed the records of adolescent patients who had undergone evaluation for bariatric surgery at our institution between 2016 and 2017. Variables assessed included age, gender, preoperative body mass index (BMI), nutritional parameters, lipid profiles and iron studies. Continuous variables were evaluated using a student’s t test and categorical variables were evaluated with chi square analysis.
Results:
Thirty-nine patients with morbid obesity underwent evaluation for bariatric surgery during the study period. Twenty-two were female (56%) and 17 were male (44%). Median age was 18 years (range 14-21 years). Patients with BMI over 50 (super obese) were more likely to be male gender (p<0.05). In the overall study population more than 60% had Iron deficiency, 20% had dyslipidemias, 25% had anemia, and 100% had Vitamin D deficiency. Levels of other B vitamins were normal for most of the study population. No statistical difference in incidence of nutritional and metabolic abnormalities was noted between morbidly obese and super obese adolescents(Table 1).
Conclusions:
Preoperative nutritional parameters and metabolic profiles do not differ amongst morbidly obese and super obese adolescent bariatric patients.