Mid-term follow-up after laparoscopic sleeve gastrectomy in obese adolescents

Asnat Raziel, Nasser Sakran, Amir Szold, Ofir Teshuva, Mirit Krakovsky, Oded Rabau, David Goitein

Research output: Contribution to journalArticlepeer-review

20 Scopus citations

Abstract

Background: Laparoscopic sleeve gastrectomy (LSG) is gaining credibility as a simple and effcient bariatric procedure with low surgical risk. Since surgical treatment for morbid obesity is relatively rare in adolescents, few results have been accumulated so far. Objectives: To prove the safety and efficacy of LSG surgery in an adolescent population methods: Data were prospectively collected regarding adolescent patients undergoing LSG. All patients underwent pre-and postoperative medical and professional evaluation by a multidisciplinary team. results: Between the years 2006 and 2011, 32 adolescents underwent LSG in our center (20 females and 12 males). Mean age was 16.75 years (range 14-18 years), mean weight was 121.88 kg (83-178 kg), and mean body mass index 43.23 (35-54). Thirty-four comorbid conditions were identifed. LSG was the primary bariatric procedure in all the patients. Mean operative time was 60 minutes (range 45-80 min). There were two complications (6.25%): an early staple line leak and a late acute cholecystitis. There were no deaths. Mean percent excess weight loss at 1, 3, 6, 9,12, 24, 36, 48, and 60 months post-surgery was 27.9%, 41.1%, 62.6%, 79.2%, 81.7%, 71%, 75%, 102.9% and 101.6%, respectively. Comorbidities were completely resolved or ameliorated within 1 year following surgery in 82.4% and 17.6%, respectively. conclusions: LSG is feasible and safe in morbidly obese adolescents, achieving effcient weight loss and impressive resolution of comorbidities. Further studies are required to evaluate the long-term results of this procedure as well as its place among other bariatric options.

Original languageEnglish
Pages (from-to)37-41
Number of pages5
JournalIsrael Medical Association Journal
Volume16
Issue number1
StatePublished - Jan 2014
Externally publishedYes

Keywords

  • Adolescents
  • Bariatric surgery
  • Laparoscopic sleeve gastrectomy (LSG)
  • Obesity

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