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Body contouring in adolescents after bariatric surgery.


ABSTRACT:

Background

Bariatric surgery leads to sustained weight loss and resolution of obesity-associated co-morbidities in severely obese adolescents. However, one consequence of massive weight loss is excess skin and soft tissue. Many details regarding the timing, outcomes, and barriers associated with body contouring surgery (BCS) in youth who have undergone bariatric surgery are unknown.

Objectives

Describe the incidence and effect of BCS following bariatric surgery among adolescents.

Setting

University Hospitals.

Methods

Teen-Longitudinal Assessment of Bariatric Surgery is a prospective multi-institutional study of 242 adolescents who underwent bariatric surgery from 2007 to 2012. Utilization of BCS was analyzed in this population with comparison of anthropometrics and excess skin-related symptoms between those who did and those who did not undergo BCS.

Results

Among the 198 study participants with BCS data available, 25 (12.6%) underwent 41 body contouring procedures after bariatric surgery. The most common BCS was panniculectomy (n = 23). Presence of pannus-related symptoms at baseline and the magnitude of weight loss within the first year after bariatric surgery were independently associated with subsequent panniculectomy (P = .04 and P = .03, respectively). All adolescents who underwent panniculectomy experienced resolution of pannus-related symptoms. At 5 years after bariatric surgery, 74% of those who did not undergo panniculectomy reported an interest in the procedure, and 58% indicated that cost/insurance coverage was the barrier to obtaining BCS.

Conclusion

Few adolescents who underwent bariatric surgery later underwent BCS procedures. Panniculectomy effectively treated pannus-related symptoms. Disparities in access to surgical care for adolescents who desire BCS warrants further investigation.

SUBMITTER: Derderian SC 

PROVIDER: S-EPMC7027488 | biostudies-literature | 2020 Jan

REPOSITORIES: biostudies-literature

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Publications

Body contouring in adolescents after bariatric surgery.

Derderian S Christopher SC   Patten Luke L   Kaizer Alexander M AM   Inge Thomas H TH   Jenkins Todd M TM   Michalsky Marc P MP   Xie Changchun C   Dewberry Lindel C LC   Sitzman Thomas J TJ  

Surgery for obesity and related diseases : official journal of the American Society for Bariatric Surgery 20190918 1


<h4>Background</h4>Bariatric surgery leads to sustained weight loss and resolution of obesity-associated co-morbidities in severely obese adolescents. However, one consequence of massive weight loss is excess skin and soft tissue. Many details regarding the timing, outcomes, and barriers associated with body contouring surgery (BCS) in youth who have undergone bariatric surgery are unknown.<h4>Objectives</h4>Describe the incidence and effect of BCS following bariatric surgery among adolescents.<  ...[more]

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