Laparoscopic sleeve gastrectomy in morbidly obese adolescents: Initial experience of a Pediatric Multidisciplinary Unit - 19/07/20

Doi : 10.1016/j.arcped.2020.06.003

Tiago Tuna ^a,⁎ , Maria do Céu Espinheira ^b, Carla Vasconcelos ^c, John Preto ^d, José M. Campos ^a
^a Pediatric Surgery Department, Centro Hospitalar e Universitário de São João, Faculdade de Medicina. Alameda Prof. Hernâni Monteiro, 4200-319, Porto, Portugal
^b Pediatric Gastroenterology and Nutrition Unit, Centro Hospitalar e Universitário de São João. Alameda Prof. Hernâni Monteiro, 4200-319, Porto, Portugal
^c Nutrition and Dietetics Department, Centro Hospitalar e Universitário de São João. Alameda Prof. Hernâni Monteiro, 4200-319, Porto, Portugal
^d Surgery Department, Centro Hospitalar e Universitário de São João. Alameda Prof. Hernâni Monteiro, 4200-319, Porto, Portugal

^⁎Corresponding author.

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Abstract

Introduction

Childhood obesity is a significant health problem worldwide, associated with significant metabolic and cardiovascular morbidity. Recent evidence points to metabolic and bariatric surgery as a safe and effective treatment for morbidly obese adolescents. We aim to report the initial results after laparoscopic sleeve gastrectomy (LSG) for adolescent patients in a pediatric center.

Material and methods

Retrospective data review of patients younger than 19 years who underwent LSG for treatment of morbid obesity between 2013 and 2019.

Results

A total of 16 adolescents (12 female, 4 male) with a median age of 17.5 years underwent LSG. Median preoperative weight and body mass index were 129kg and 48.6kg/m⁻², respectively. All patients had at least one comorbidity. Median follow-up was 18.5 months. The overall percent total weight loss was 32.5% and percent excess weight loss was 68%. Resolution of comorbidities was noted in the majority of patients. No perioperative complications were reported.

Conclusions

Laparoscopic sleeve gastrectomy is a safe and effective option for treatment of morbidly obese adolescents, resulting in significant weight loss and comorbidity resolution with a low risk of complications.

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Keywords : Obesity, Adolescents, Weight loss, Bariatric surgery, Laparoscopic sleeve gastrectomy