Laparoscopic Sleeve Gastrectomy in 108 Obese Children and Adolescents Aged 5 to 21 Years

• DOI: 10.1097/sla.0b013e318251e92b
• Publication Date: 2012-04-13T12:39:32Z
• Authors: Aayed R. Alqahtani; Belavendra Antoni...; Hussam Alamri; Mohamed Elahmedi; Valerie A. Zimmerman
• Keywords: Dyslipidemia; Sleeve gastrectomy; Prediabetes

To report experience with laparoscopic sleeve gastrectomy (LSG) in 108 severely obese children and adolescents.Obesity during childhood adolescence can be accompanied by serious long-term adverse health longevity outcomes. With increased use of bariatric surgery to treat obesity these patients, diverse guidelines have been published, most which exclude aged younger than 14 years. Few reports describe LSG adolescents, delaying determining its safety effectiveness developing guidance regarding use.A retrospective review performed from March 2008 through February 2011 a single surgeon at King Saud University Hospitals, Riyadh, Saudi Arabia, included patients 5 21 years.Patients attending follow-up visits 3 (n = 88), 6 76), 12 41), 24 8) months postoperatively experienced median excess weight loss (EWL) 28.9%, 48.1%, 61.3%, 62.3%, respectively. At follow-up, 42.1% 32) 73.2% 30) achieved least 50% EWL, whereas 7.9% 6) 4.9% 2) had 25% or less There were no postoperative complications sequelae developed the current follow-up. Available comorbidity data indicate resolution dyslipidemia, 30 (70.0%); hypertension, 27 36 (75.0%); prehypertension, 15 18 (83.3%); symptoms obstructive sleep apnea, 20 22 (90.9%); diabetes, 16 (93.8%); prediabetes, 11 (100.0%).LSG resulted successful short-term more 90% pediatric 70% up Long-term are necessary evaluate persistence maturation adulthood.