Impact of Laparoscopic Sleeve Gastrectomy on Weight Loss and Associated Comorbidities in Adolescents and Young Adults

Tsamis, Dimitrios; Plastiras, Aris; Natoudi, Maria; Oikonomou, Evangelos; Zografos, Georgios; Leandros, Emmanuel; Albanopoulos, Konstantinos

doi:10.1089/lap.2015.0426

Cited by 8 publications

(5 citation statements)

References 28 publications

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“…Patients maintained any weight loss achieved in the short term [39][40][41][42]. At study conclusion, which varied between 24 and 60 months across trials, all patients decreased their BMI by more than 18 kg/m 2 [39][40][41][42]. The most common complication following LSG was gastroesophageal reflux.…”

Section: Laparoscopic Sleeve Gastrectomymentioning

confidence: 92%

“…Pooled analysis revealed laparoscopic sleeve gastrectomy (LSG) decreased mean BMI by 16.13 kg/m 2 (95%CI − 17.92 to − 14.33). Four studies were carried out for longer than 12 months [39][40][41][42]. Patients maintained any weight loss achieved in the short term [39][40][41][42].…”

Section: Laparoscopic Sleeve Gastrectomymentioning

confidence: 99%

“…Four studies were carried out for longer than 12 months [39][40][41][42]. Patients maintained any weight loss achieved in the short term [39][40][41][42]. At study conclusion, which varied between 24 and 60 months across trials, all patients decreased their BMI by more than 18 kg/m 2 [39][40][41][42].…”

Section: Laparoscopic Sleeve Gastrectomymentioning

confidence: 99%

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Treatment of Obesity in Young People—a Systematic Review and Meta-analysis

et al. 2018

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Obesity in the young is increasingly prevalent. Early, effective intervention is paramount. Treatment options are lifestyle modifications, pharmacological therapies, endoscopic treatments and bariatric surgery. However, the relative effectiveness of these treatments in young patients remains unclear. We systematically identify and meta-analyse studies evaluating weight loss treatments in young people (< 21 years) with obesity. From 16,372 identified studies, 83 were eligible for meta-analysis. Bariatric surgery resulted in high short/medium-term weight loss (pooled estimate 14.04 kg/m). Lifestyle and pharmacological therapies impacted weight more moderately (pooled estimate 0.99 and 0.94 kg/m respectively). Due to its high efficacy, bariatric surgery should be considered earlier when treating obesity in young people. However, due to the invasiveness and inherent risks of bariatric surgery, all other weight loss routes should be exhausted first.

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Section: Laparoscopic Sleeve Gastrectomymentioning

confidence: 92%

Section: Laparoscopic Sleeve Gastrectomymentioning

confidence: 99%

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Treatment of Obesity in Young People—a Systematic Review and Meta-analysis

et al. 2018

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“…The prevalence of obesity-related comorbidities in children is lower than it is in adults. The baseline characteristics of the adolescents and young adults with ages ranging from 16 to 22 years old who had laparoscopic sleeve gastrectomy were reported by Tsamis et al in their article (14). 5.4% of the 37 study participants had arterial hypertension, 5.4% had diabetes mellitus, and 10.8% had dyslipidemia.…”

Section: Discussionmentioning

confidence: 87%

Bariatric Surgery in Adolescents A New Paradigm: Our Experience

Zavalza,

Prats,

Giron

et al. 2023

Preprint

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Background Obesity in adolescent patients is a public healthcare problem that has rapidly increased over time. Surgical procedures have been proposed as a solution for this pathology, but evidence of bariatric surgery outcomes in adolescent patients is scarce. We aimed to describe the characteristics, experience, and outcomes of our institution's adolescent patients who underwent bariatric surgery in 2021. Methods A retrospective observational study with a prospective database was conducted. Adolescent patients who underwent bariatric procedures were included. A laparoscopic sleeve gastrectomy was performed. Baseline data and evolution were obtained and analyzed. The surgical analysis included intraoperative time, surgery, complications, and endoscopic findings. Post-operative follow-up was done for at least a 12-month period in all patients. Results 15 adolescent patients required bariatric surgery. The mean age of the patients was 17.5 years, 13.3 % were men and 86.7 % were women. Only 1 patient had history of diabetes and sleep apnea. Mean body mass index in the group was 42.46 kg/m² before intervention and 26.66 kg/m² year after surgery. Every patient got a GERD-Q score, under 5 points. With a satisfaction rate of 100% for weight loss. No intraoperative or postoperative complications were recorded. Conclusions Bariatric surgery is a safe procedure for weight loss, it’s feasible, replicable, and safe for adolescent patients. Follow-up is essential to measure GERD and weight loss maintenance.

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“…Adolescents not able to lose weight through lifestyle modifications/behavioral therapy (e.g., diet changes and increased physical activity) or are experiencing severe weight-related complications may benefit from weight loss surgery. Tsamis et al (2015) suggest that “bariatric surgery is currently the most effective evidence-based method to obtain long term-term weight loss in severely obese patients.” Below is a case study of a patient who was seen in our adolescent bariatric surgery clinic.…”

mentioning

confidence: 99%