Characteristics in pediatric metabolic and bariatric surgery

Kerry A Swanson; Allie E Steinberger; Katelin B Nickel; Matthew Keller; Jennifer E Sprague; Ginger E Nicol; J Christopher Eagon; Francesca M Dimou; Shaina R Eckhouse; Baddr A Shakhsheer

doi:10.1016/j.orcp.2024.10.002

Characteristics in pediatric metabolic and bariatric surgery

Obes Res Clin Pract. 2024 Oct 31:S1871-403X(24)00393-4. doi: 10.1016/j.orcp.2024.10.002. Online ahead of print.

Affiliations

¹ Department of Surgery, Washington University, St Louis, MO, United States. Electronic address: kerry.swanson@wustl.edu.
² Department of Surgery, Washington University, St Louis, MO, United States.
³ Division of Infectious Diseases, Department of Medicine, Washington University, St. Louis, MO, United States.
⁴ Pediatric Endocrinology, Department of Pediatrics, Washington University, St. Louis, MO, United States.
⁵ Child and Adolescent Psychiatry, Department of Psychiatry, Washington University, St. Louis, MO, United States.
⁶ Division of Minimally Invasive Surgery, Department of Surgery, Washington University, St Louis, MO, United States.
⁷ Division of Bariatric and Metabolic Surgery, Department of Surgery, USF Health, Tampa, FL, United States.
⁸ Division of Minimally Invasive Surgery, Department of Surgery, Duke University School of Medicine, Durham, NC, United States.
⁹ Department of Surgery, Section of Pediatric Surgery, The University of Chicago, Comer Children's Hospital, Chicago, IL, United States.

PMID: 39482117
DOI: 10.1016/j.orcp.2024.10.002

Abstract

Childhood obesity continues to be a significant public health concern, and metabolic and bariatric surgery (MBS) is a contemporary intervention that remains underutilized. Records from the Kids' Inpatient Database (KID) were analyzed from 2009 to 2016 were analyzed to evaluate utilization characteristics of pediatric MBS. Annual procedure rates increased from 2.98 to 4.94 per 100,000 US adolescents. White children received the highest proportion of MBS at all time points; however, significant increases were seen among Black and Hispanic children. Despite these increases, a disproportionate racial bias persists indicating a need for further provider education and research into the utilization gap for minority patients.

Keywords: Adolescent; Metabolic and bariatric surgery; Obesity; Pediatric; Roux-en-Y gastric bypass; Sleeve gastrectomy.

Publication types

Letter