Imperial College London
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ProfessorDashaNicholls

Faculty of Medicine, Department of Brain Sciences

Professor of Child and Adolescent Psychiatrist
 
 
 
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Contact

 

d.nicholls

 
 
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Location

 

Commonwealth BuildingHammersmith Campus

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Summary

 

Publications

Citation

BibTex format

@article{White:2017:10.1136/archdischild-2017-312670,
author = {White, B and Doyle, J and Matschull, K and Adamo, M and Christie, D and Nicholls, D and Kinra, S and Wong, ICK and Viner, RM},
doi = {10.1136/archdischild-2017-312670},
journal = {Arch Dis Child},
title = {Outcomes of 50 patients entering an adolescent bariatric surgery programme},
url = {http://dx.doi.org/10.1136/archdischild-2017-312670},
year = {2017}
}
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RIS format (EndNote, RefMan)

TY  - JOUR
AB  - OBJECTIVE: Bariatric surgery is the most effective intervention for weight loss and obesity-related comorbidities currently available. Little is known about adolescents entering National Health Service (NHS) bariatric programmes. We aimed to characterise those entering a pathway and report their outcomes. DESIGN: Prospective service evaluation of patients assessed within a single NHS adolescent bariatric service. RESULTS: 50 patients assessed between 26 July 2007 and 27 January 2014; 6 (12%) were not eligible for surgery, 7 (14%) actively opted out, 8 (16%) were lost to follow-up and 29 (58%) underwent surgery (18 sleeve gastrectomy (SG) 11 Roux-en-y gastric bypass (RYGB) and 0 adjustable gastric band). Mean (SD) age at initial assessment was 16.0 (1.3) years and 18.3 (1.3) at surgery (youngest 15.7 years). Mean time taken to surgery was 1.8 years; longer in those with higher body mass index (BMI) and aged below 14 at first assessment. Mean (SD) BMI at surgery was 53.1 (8.3) kg/m(2), lower in those undergoing RYGB (-5.2, 95% CI -11.6 to 1.13). Follow-up was inconsistent and challenging; 1/29 (3.5%) was transferred to a regional centre, 10/29 (34.5%) attended ongoing follow-up within our protocol, 6/29 (20.7%) had intermittent monitoring and 12/29 (41.4%) were lost to follow-up. Mean BMI change at 1 year (-14.0 kg/m(2)) and complications were similar to published cohorts. Data from 11 lost to follow-up were obtained and outcomes appeared similar to those who actively followed up. CONCLUSION: Adolescent bariatric surgery in the NHS appears effective, with outcomes similar to those reported internationally. Further work is needed to optimise postsurgical surveillance and reduce age at surgery.
AU  - White,B
AU  - Doyle,J
AU  - Matschull,K
AU  - Adamo,M
AU  - Christie,D
AU  - Nicholls,D
AU  - Kinra,S
AU  - Wong,ICK
AU  - Viner,RM
DO  - 10.1136/archdischild-2017-312670
PY  - 2017///
SN  - 0003-9888
TI  - Outcomes of 50 patients entering an adolescent bariatric surgery programme
T2  - Arch Dis Child
UR  - http://dx.doi.org/10.1136/archdischild-2017-312670
ER  -
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