long-term survival for these patients. Bariatric surgery may allow them to achieve target BMI for OHT. METHODS: From April 2014 to January 2018, 25 morbidly obese patients with HF who did not meet BMI eligibility criteria for OHT underwent laparoscopic bariatric surgery (22 sleeve gastrectomies and 3 Roux-en-Y gastric bypasses). Outcomes of interest were the mean difference in BMI, the number of pa- tients who achieved a target BMI for OHT, and 30-day mortality. RESULTS: Mean age was 49 Æ 13 years and 11 (44%) were fe- male. Heart failure was mainly secondary to nonischemic cardio- myopathy, 16 (64%). The median left ventricular ejection fraction was 27% (interquartile range [IQR] 23%). At the time of bariatric surgery, 11 (44%) patients had mechanical circulatory support: 2 (8%) concomitant left ventricular assist device (LVAD) placements, 7 (28%) LVAD already in place, and 2 (8%) intra- aortic balloon pumps. Median operative time was 153 (IQR 19) minutes. There was one 30-day mortality (4%). At a median follow-up of 9.6 (IQR 13.5) months, the mean postoperative BMI was 34.910 kg/m 2 , with a mean difference of 10.2 Æ 6 (95% CI 7.65-12.78; p¼0.001), compared to baseline BMI of 45 Æ 7 kg/m 2 . Target BMIs <35 kg/m 2 and <40 kg/m 2 were achieved in 16 (64%) and 20 (80%) of patients, respectively. One patient (4%) has already undergone OHT; several others remain actively listed. CONCLUSIONS: Bariatric surgery in patients with end-stage HF is feasible and results in a high number of patients achieving target BMI, increasing their probability of undergoing OHT. The presence or need for concomitant LVAD placement should not preclude these patients from undergoing a bariatric intervention. Bariatric Surgery in the Adolescent: An Analysis of the National Inpatient Sample Zhamak Khorgami, MD, Geoffrey S Chow, MD, Guido M Sclabas, MD, FACS University of Oklahoma - Tulsa, Tulsa, OK INTRODUCTION: The incidence of obesity continues to increase worldwide, affecting children and adolescents. The purpose of this study is to evaluate the use of bariatric surgery on adolescent patients in the US. METHODS: A retrospective analysis of the 2011-2015 Nationwide Inpatient Sample (HCUP-NIS) was performed. All patients with morbid obesity undergoing primary bariatric operations were included and grouped into adolescents (10 to 19 years of age) and adults (>19 years). Demographic factors, comorbidities, and surgical procedures were compared between groups. RESULTS: We analyzed 129,167 patients, including 1,088 adoles- cents (0.8%). Median age (interquartile range [IQR]) was 18 (1) in adolescents (range 12 to 19) and 45 (18) years in adults. Adoles- cents comprised 0.7% to 1% in each year. There were more His- panics (23% vs 12.6%) and fewer Caucasians (52.3% vs 65.6%) among the adolescent patients compared with adults (p<0.001). Adolescent patients had higher rates of sleeve gastrectomy (55.9% vs 51.1%) and adjustable gastric bands (5.1% vs 4.2%), and fewer gastric bypasses (38% vs 42.9%). Adolescent patients had a similar proportion of males to females, and several comorbid- ities (Table). There was no difference in length of stay (median 2 days, IQR 1 day) and total charges (median: $41,000, IQR $28,300) between the groups. There was no mortality in adoles- cents (58 in adults). Table. Comparison of Sex and Comorbidities in Adolescent (10 to 19 years) and Adult Patients undergoing Bariatric Surgery Characteristic Adolescents, n¼ 1,088, n (%) Adults, n¼128,079, n (%) p Value Female sex 836 (76.8) 100,148 (78.2) 0.278 Obstructive sleep apnea 292 (26.8) 57,534 (44.9) <0.001 Esophageal reflux 217 (19.9) 49,956 (39) <0.001 Asthma 186 (17.1) 20,060 (15.7) 0.195 Hypertension 189 (17.4) 64,567 (50.4) <0.001 Diabetes mellitus 123 (11.3) 35,870 (28) <0.001 Depression 129 (11.9) 24,879 (19.4) <0.001 Hyperlipidemia 127 (11.7) 44,516 (34.8) <0.001 Fatty liver disease 120 (11) 13,907 (10.9) 0.857 Polycystic ovaries* 92 (11) 4,142 (4.1) <0.001 *Percent in female patients. CONCLUSIONS: Rates of adolescent bariatric surgery have remained close to 1% in the US in recent years. Sleeve gastrectomy is the most common procedure performed in adolescent patients. These patients have numerous comorbidities. Ongoing research is needed to understand the role of bariatric surgery in adolescents along with long-term outcomes. Bariatric Surgery Reduces Cardiovascular Disease Risk in Diabetic Patients Camila Ortiz Gomez, MD, David Gutierrez Blanco, MD, David Romero Funes, MD, Ramarao Ganga, MD, Emanuele Lo Menzo, MD, PhD, FACS, Samuel Szomstein, MD, FACS, Raul J Rosenthal, MD, FACS, FASMBS Cleveland Clinic Florida, Weston, FL INTRODUCTION: The increasing prevalence of obesity parallels that for type II diabetes mellitus (T2DM). Ample evidence has shown strong correlation between obesity and T2DM with the pathogenesis and progression of cardiovascular disease. The aim of this study is to determine the impact of bariatric surgery in the cardiovascular risk of diabetic patients. S14 Scientific Forum Abstracts J Am Coll Surg