Laparoscopic sleeve gastrectomy in severely obese adolescents: effects on metabolic profile

Franco, Ruth Rocha; Ybarra, Marina; Cominato, Louise; Mattar, Larissa Baldini Farjalla; Steinmetz, Leandra; Damiani, Durval; Velhote, Manoel Carlos Prieto

doi:10.1590/2359-3997000000310

Cited by 16 publications

(18 citation statements)

References 34 publications

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“…Mean operative time in our study was 101.75 min which is close to that reported by Park et al (108 min) [8], and slightly more than Alqahtani et al [7] which reported 84 min. While, it was significantly lower than that reported by Franco et al (256 min) [11]. We did not have any intraoperative complications as bowel, organ or vascular injury, inadvertent bleeding from the gastric remnant, or mishaps as stapler mechanical failure.…”

Section: Discussioncontrasting

confidence: 52%

“…While, mean weight after 2 years was 79.44 kg in our study and 81.8 kg in Aridi et al [9]. We succeeded to have mean EWL of 54.11 kg after one year post LSG which is higher than all the literature, Alqahtani et al [7] 42.7 kg, Franco et al [11] 34.5 kg and Dargan et al [10] 39.1 kg. Although after 2 years, we demonstrated non-significant weight regain with mean EWL was 51.19 kg, EWL is still higher than all the literature.…”

Section: Discussioncontrasting

confidence: 43%

“…Although after 2 years, we demonstrated non-significant weight regain with mean EWL was 51.19 kg, EWL is still higher than all the literature. In Alqahtani et al [7], Franco et al [11] and Dargan et al [10], EWL were 39.5 kg, 25.8 kg and 34.1 kg, respectively.…”

Section: Discussionmentioning

confidence: 90%

“…Lack of compliance to take multivitamins and failure to stick to nutritional instructions advised post LSG was the cause. Aridi et al [9] reported one case of wound infection, Alqahtani et al [7] had wound infection in two cases and GERD in three cases and Franco et al [11] reported one case of iron deficiency. We think that leaving 4 cm from the antrum and postoperative vitamin B complex supplementation were very important to avoid iron deficiency anemia in our series, because both facilitate adequate iron absorption and prevent its deficiency.…”

Section: Discussionmentioning

confidence: 99%

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Effect of laparoscopic sleeve gastrectomy on metabolic syndrome in adolescent obesity

et al. 2020

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Background Metabolic syndrome (MeS) is a group of physiological, biochemical, clinical, and metabolic factors which increase the incidence of atherosclerosis, type 2 diabetes mellitus, and early mortality. Overall prevalence of MeS is around 3.3%, 11.9% in overweight, 29.2% in obese, and less than 1% in non-obese children. Nearly, 90% of obese children and adolescents have at least one parameter of MeS. Objective Clinical and metabolic evaluation of obese adolescents before and after laparoscopic sleeve gastrectomy (LSG). Subjects and methods Prospective study included analysis of data from 35 adolescents (12-19 years) with body mass index (BMI) above 99th percentile for age and sex. All of them had metabolic syndrome and were submitted to LSG between 2015 and 2017. Anthropometric measurements, clinical and laboratory assessment were performed, preoperatively, 6, 12, and 24 months postoperatively. Results Mean age was 16.43 years and mean preoperative weight and BMI were 132.68 kg and 48.90, respectively. Mean excess weight loss (EWL) was 54.11 kg after 12 months' and 51.19 kg after 24-months post-LSG, corresponding to 74 and 73 EWL%, respectively, as well as mean BMI loss (BML) of 19.89 and 18.7 kg/m 2. LSG improved fatty infiltration of liver in 93% of cases and other comorbidities in 100% of patients. Conclusions Laparoscopic sleeve gastrectomy (LSG) proved as a safe and effective procedure for adolescent obesity and its related metabolic morbidities.

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Section: Discussioncontrasting

confidence: 52%

Section: Discussioncontrasting

confidence: 43%

Section: Discussionmentioning

confidence: 90%

Section: Discussionmentioning

confidence: 99%

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Effect of laparoscopic sleeve gastrectomy on metabolic syndrome in adolescent obesity

et al. 2020

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“…[15][16][17] Laparoscopic sleeve gastrectomy could be an alternative surgery since it has already proven to be safe and effective in the treatment of morbidly obese adolescents. 18 Mortality rates after bariatric surgery are low. 19 A wide range of surgical complications may occur after bariatric surgery.…”

Section: Discussionmentioning

confidence: 99%

Bariatric Surgery as a Treatment for Idiopathic Intracranial Hypertension in a Male Adolescent: Case Report

Ybarra

Santos

Queiroz

et al. 2020

Rev. paul. pediatr.

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Objective: To describe a case of a male adolescent with symptomatic idiopathic intracranial hypertension (IIH) associated with obesity treated with bariatric surgery. Case description: A 16-year-and-6-month-old severely obese boy [weight: 133.6 kg; height: 1.74 m (Z score: +0.14); BMI: 44.1 kg/m2 (Z score: +4.4)], Tanner pubertal stage 5, presented biparietal, high-intensity, and pulsatile headaches, about five times per week, associated with nocturnal awakenings, and partial improvement with common analgesics, for three months. Ophthalmologic evaluation evidenced bilateral papilledema. Cranial computed tomography revealed no mass or anatomic abnormalities. Lumbar puncture showed increased intracranial pressure of 40 cmH2O (reference value: <28 cmH2O) with a normal content. After being diagnosed with IIH, the patient was started on acetazolamide. However, after three months, he was still symptomatic. He was diagnosed with obesity due to excess energy intake and, as he had failed to lose weight after a conventional clinical treatment, bariatric surgery was indicated. The patient (at 16 years and nine months) underwent an uncomplicated laparoscopic sleeve gastrectomy. Ophthalmologic evaluation, performed five months after surgery, revealed normal visual acuity in both eyes and improvement of bilateral papilledema. Follow-up at 18 months showed a 67.5% loss of excess weight (weight: 94.5 kg and BMI: 31.2 kg/m2) and complete resolution of IIH symptoms. Comments: IIH is characterized by increased intracranial pressure with no evidence of deformity or obstruction of the ventricular system on neuroimaging. It has been associated with obesity. Bariatric surgery may be a valid alternative approach for morbidly obese adolescent patients with refractory symptoms.

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Laparoscopic Sleeve Gastrectomy: Weight Loss Outcomes

Copăescu

2021

Obesity, Bariatric and Metabolic Surgery

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Laparoscopic sleeve gastrectomy in severely obese adolescents: effects on metabolic profile

Abstract: LSG proved to be a safe and effective procedure and seems to be the new hope for the obesity epidemic.

Cited by 16 publications

References 34 publications

Effect of laparoscopic sleeve gastrectomy on metabolic syndrome in adolescent obesity

Effect of laparoscopic sleeve gastrectomy on metabolic syndrome in adolescent obesity

Bariatric Surgery as a Treatment for Idiopathic Intracranial Hypertension in a Male Adolescent: Case Report

Laparoscopic Sleeve Gastrectomy: Weight Loss Outcomes

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