Table 6.
Complications Within One Year After Surgery, by Surgery Type among 890 Morbidly Obese Adolescents Undergoing Bariatric Surgery between 2002 and 2010
| Gastric Bypass (N=454) | Adjustable Gastric Band (N=436) | |
|---|---|---|
| Complication | N(%) | N(%) |
| Gastrointestinal Systema | 29(29.6) | 9(41) |
| Nutritional Deficiencyb | 24(24.5) | 2(9.1) |
| Surgical (bleeding/hemorrhage, intra-abdominal) | 3(3.1) | 1(4.5) |
| General (obstruction, abscess, internal hernia) | 16(16.3) | 2(9.1) |
| Band (port revision, removal, replacement)c | 0(0.0) | 3(13.6) |
| Pulmonary System (pneumonia, pulmonary embolism) | 7(7.1) | 0(0.0) |
| Device-Related | 8(8.2) | 5(22.7) |
| Skin or Soft Tissue | 3(3.1) | 0(0.0) |
| Death (by cardiac failure 6 months after surgery) | 1(1) | 0(0.0) |
| Endocrine/Metabolic System | 3(3.1) | 0(0.0) |
| Infection (at the surgical site) | 1(1) | 0(0.0) |
| Renal or Genitourinary System | 1(1) | 0(0.0) |
| Arrhythmia | 2(2) | 0(0.0) |
| TOTALd | 98(21.6) | 22(5) |
| Readmissions Required | 45(9.9) | 10(2.3) |
| Reoperation Required | 29(6.4) | 8(1.8) |
| Reason of Reoperation | ||
| Cholecystectomy | 6(20.8) | 2(25) |
| Othere | 7(24.1) | 0(0.0) |
| EGD with dilitation | 6(20.8) | 0(0.0) |
| Hernia repair, internal | 5(17.2) | 0(0.0) |
| Band replacement | 0(0.0) | 2(25) |
| Band, port revision | 0(0.0) | 2(25) |
| Band, removal | 0(0.0) | 2(25) |
| Small bowel obstruction, repair | 2(6.9) | 0(0.0) |
| Gastric tube, placement | 1(3.4) | 0(0.0) |
| Hernia repair, umbilical | 1(3.4) | 0(0.0) |
| Wound, debridement | 1(3.4) | 0(0.0) |
| TOTAL | 29(6.4) | 8(1.8) |
a
Nausea or vomiting, intestinal bleeding, diarrhea, gallstones
b
Vitamins A, B12, D, folate, iron, magnesium, zinc, electrolytes
c
Slippage (N =10,7.1%), stricture (N=6, 4.3%) (categories are not mutually exclusive)
d
Adverse event rate is significantly different between the gastric bypass and adjustable gastric band, 20.33% vs. 5.10% respectively.
e
Abdominal pain, internal hernia, repair of lapband tubing, diagnostic lap, LOA, parenteral hernia repair, gastroparesis internal hernia, repair of lapband tubing