Table 5.
Percent Change in Comorbidities Among Morbidly Obese Adolescents After Treatment with Bariatric Surgery, by Surgery Type, 2004–2010
| Morbidity | Before Surgery N (%) | 12 Months after Surgery | ||||||
|---|---|---|---|---|---|---|---|---|
| Unchanged % | Improved % | Worsened % | ||||||
| Gastric Bypass | Adjustable Gastric Band | Gastric Bypass | Adjustable Gastric Band | Gastric Bypass | Adjustable Gastric Band | Gastric Bypass | Adjustable Gastric Band | |
| Cardiovascular Disease-Related | ||||||||
| Swelling in the Legs | 53(11.67) | 37(8.49) | 46.2 | 50.0 | 46.2 | 44.4 | 7.7 | 5.6 |
| Hypertension | 118(25.99)* | 80(18.35)* | 32.1 | 42.9 | 60.7 | 54.3 | 7.1 | 2.9 |
| Gastrointestinal-System-Related | ||||||||
| Gastroesophageal Reflux Disease | 127(27.97) | 109(25.00) | 32.4 | 47.6 | 61.8 | 45.2 | 5.9 | 7.1 |
| Liver Disease | 25(5.51)* | 11(2.52)* | 33.3 | 50.0 | 55.6 | 33.3 | 11.1 | 16.7 |
| General | ||||||||
| Abdominal Skin Irritation | 17(3.74) | 22(5.05) | 37.5 | 80.0 | 37.5 | 20.0 | 25.0 | 0.0 |
| Stress Urinary Incontinence | 31(6.83)* | 12(2.75)* | 22.2 | 50.0 | 66.7 | 50.0 | 11.1 | 0.0 |
| Metabolic-Related | ||||||||
| Diabetes | 67(14.76) | 65(14.91) | 14.3 | 40.9 | 78.6 | 59.1 | 7.1 | 0.0 |
| Hyperlipidemia | 65(14.32) | 61(13.99) | 29.4* | 76.7* | 58.8* | 23.3* | 11.8 | 0.0 |
| Musculoskeletal System-Related | ||||||||
| Back Pain | 162(35.68)* | 113(25.92)* | 48.8 | 45.0 | 51.2 | 50.0 | 0.0 | 5.0 |
| Musculoskeletal Disorder | 127(27.97)* | 90(20.64)* | 29.2 | 55.9 | 70.8 | 44.1 | 0.0 | 0.0 |
| Psychosocial/Behavioral-Related | ||||||||
| Alcohol Use | 43(9.47) | 37(8.49) | 58.3 | 77.8 | 25.0 | 11.1 | 16.7 | 11.1 |
| Depression | 115(25.33) | 93(21.33) | 60.9 | 47.2 | 34.8 | 41.7 | 4.3 | 11.1 |
| Psychosocial Impairment | 52(11.45)* | 32(7.34)* | 66.7 | 81.8 | 25.0 | 0.0 | 8.3 | 18.2 |
| Tobacco Use | 25(5.51) | 20(4.59) | 50.0 | 100.0 | 37.5 | 0.0 | 12.5 | 0.0 |
| Pulmonary System-Related | ||||||||
| Asthma | 94(20.70) | 84(19.27) | 60.0 | 71.0 | 40.0 | 22.6 | 0.0 | 6.5 |
| Obstructive Sleep Apnea | 117(25.77)* | 80(18.35)* | 43.3 | 46.2 | 56.7 | 46.2 | 0.0 | 7.7 |
| Pulmonary Hypertension | 17(3.74) | 8(1.83) | 16.7 | 60.0 | 66.7 | 40.0 | 16.7 | 0.0 |
| Reproductive System-Related | ||||||||
| Menstrual Irregularity | 85(18.72)* | 50(11.47)* | 53.6 | 62.5 | 32.1 | 37.5 | 14.3 | 0.0 |
| Polycystic Ovarian Syndrome | 41(9.03) | 45(10.32) | 58.3 | 68.8 | 33.3 | 31.3 | 8.3 | 0.0 |
*
p-value < 0.05