Laparoscopic Gastric Bypass for the Adolescent Patient: Long-Term Results

Nijhawan, Sheetal; Martinez, Tracy; Wittgrove, Alan C.

doi:10.1007/s11695-012-0670-8

Cited by 24 publications

(22 citation statements)

References 35 publications

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“…Fourteen studies encompassed 950 morbidly obese adolescents who were followed at least 3 years after their bariatric surgery [7,[14][15][16][17][18][19][20][21][22][23][24][25]. Publication timeframe of the included studies ranged from 2003 [26] to 2016 [7,[15][16][17].…”

Section: Primary Characteristics Of the Included Studiesmentioning

confidence: 99%

“…Publication timeframe of the included studies ranged from 2003 [26] to 2016 [7,[15][16][17]. Of these, 8 studies were retrospective chart review (301 patients, 31.7%) [14,16,17,19,21,23,25,26], 4 were prospective observational studies (621 patients, 65.4%), and 2 were case series (28 patients, 2.9%) [22,24]. Follow-up after bariatric surgery ranged from 2 to 23 years [25] with an average greater than 3 years (Table 1).…”

Section: Primary Characteristics Of the Included Studiesmentioning

confidence: 99%

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Long-Term Outcome of Bariatric Surgery in Morbidly Obese Adolescents: a Systematic Review and Meta-Analysis of 950 Patients with a Minimum of 3 years Follow-Up

et al. 2017

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Section: Primary Characteristics Of the Included Studiesmentioning

confidence: 99%

Section: Primary Characteristics Of the Included Studiesmentioning

confidence: 99%

Long-Term Outcome of Bariatric Surgery in Morbidly Obese Adolescents: a Systematic Review and Meta-Analysis of 950 Patients with a Minimum of 3 years Follow-Up

et al. 2017

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“…Team Aim Obesity0 Diabetes1 Robotic Assisted Laparoscopic Mgb F. Niccolo [24] 0 0 1 0 M.Arafat [25] 0 0 1 0 W. El Hag [26] 0 0 1 0 T.Olbers [27] 0 0 1 0 Lin Qi [28] 0 0 1 0 E.J. Nehus [29] 0 0 1 0 T.H Inge [30] 0 0 1 0 G.F.Paulus [31] 0 0 1 0 R.Vilalonga [32] 0 0 1 0 J.L.Zitsman [33] 0 0 1 0 Y. Cozacov [34] 0 0 1 0 S. Nijhavan [35] 0 0 1 0 S. Bondada [36] 0 0 1 0 A. Osorio [37] 0 0 1 0 G.R.Silberhumer [38] 0 0 1 0 K.Widhalm [39] 0 0 1 0 De La Cruz-Munoz [40] 0 0 1 0 F.S. Papadia [41] 0 0 1 0 H.J.…”

Section: Table 1: Review Of T0he Literature Including Minimally Invas...mentioning

confidence: 99%

Robotic-Assisted Mini-Gastric By-Pass for Diabetes in Children: A First Case Report and Review of the Literature

Cag

Ozdemir

Çivilibal

et al. 2022

ijirms

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Objectives: Obesity is one of the most common diseases of children across the globe with repercussion because of comorbidities like diabetes for the future followed by premature deaths. We aimed to report the world first case of robotic-assisted mini-gastric by-pass in 15 years old boy to treat diabetes and obesity. Surgical technique and review of the literature has been presented. Patient and Methods: Fifteen years old male with Body Mass Index (BMI) 58.6 at 125 percentile, and the patient was followed by dietetic counseling and with increasing metformin dosage treatment because of insulin resistance in his country. After 3 years of follow up the patient’s treatment was not successful and therefore the family addressed to our obesity council. Our genetic consultant assured the boy doesn’t have MC4R mutation. Other endocrinologic comorbidities was evaluated by a pediatrician specialist on obesity and referred to a pediatric endocrinologist. The Type 2 diabetes was diagnosed. Robotic assisted mini-gastric by-pass was planned. Under general anesthesia five instrument ports were placed. Then the robot was docked. The stomach was divided with stapler at the junction of the body and antrum, at a location where the jejunal loop can be brought up comfortably. The jejunal loop is brought up antecolic, and the stapler is used to anatomose the stomach and the small bowel at this point. The distal end of the gastric tube is anastomosed to the side of the small bowel. Methylene blue was given to ensure there was no leakage at the anastomosis and the stapling sites. The antidiabetics were stopped by the operation. The patient was followed for a month with a normalization of blood glucose levels and without medical nor surgical complication. Results: Operative time was 105 minutes. No intraoperative complication was encountered. The patient started walking 6 hours postoperatively. The first postoperative day glucose levels were within the normal limits. Oral contrast CT demonstrated neither leakage nor obstruction on the first day. Patient started oral intake within 24 hours and was discharged in 3 days without any postoperative complication. After 1 month of follow up we didn`t saw any perturbation on blood glucose level. Conclusion: Robotic-assisted mini gastric by-pass is feasible in diabetic children. The main postoperative advantages are early recovery, less pain and better cosmesis with a easily revisable and reversible operation.

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“…In a recent meta-analysis, RYGB in adolescents with severe obesity is associated with mean reductions in BMI of 17.2 (95% CI = −20.1 to −14.3) kg/m 2 at 12 months after surgery, 67 with durable weight loss persisting at 5 to 9 years postsurgery. 68 Moreover, comorbidity resolution rates are estimated at 67% to 100% in adolescents undergoing RYGB. 67 Although no deaths have been reported in the perioperative period in adolescents undergoing RYBG, a few patients undergoing RYGB as adolescents have died between 9 months to 6 years after the procedures; however, these deaths were thought to be unrelated to the surgery itself.…”

Section: Weight Loss Surgerymentioning

confidence: 99%

Evaluation and Treatment of Severe Obesity in Childhood

Wickham

DeBoer

2015

Clin Pediatr (Phila)

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Pediatric obesity is highly prevalent in developed countries globally (and worsening in developing countries) and threatens to shorten the lifespan of the current generation. At highest risk for weight-related comorbidities including Type 2 diabetes mellitus, non-alcoholic fatty liver disease and dyslipidemia is a sub-set of children with severe obesity, often defined as a body mass index (BMI) percentile ≥99th percentile for age and sex. The pathophysiology of severe obesity in childhood is complex, resulting from the dynamic interplay of a myriad of individual and societal factors including genetic predisposition and health behaviors contributing to energy imbalance. Approximately 4–6% of children have severe obesity, representing a common scenario encountered by providers, and intervention is critical to halt ongoing weight gain and, when possible, reverse the trend. Clinical approaches promoting behavioral weight loss may result in modest, albeit clinically significant, reductions in BMI; however, such changes are often difficult to maintain long-term. Data regarding the impact of targeted pharmacotherapy including agents such as orlistat are limited in the pediatric population and again only suggest modest results. However, increasing evidence suggest that surgical treatment, as an adjunct to ongoing lifestyle changes, may be a promising option in carefully-screened adolescents with severe obesity and weight-related comorbidities who are motivated to adhere to the long-term treatment needs.

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Laparoscopic Gastric Bypass for the Adolescent Patient: Long-Term Results

Abstract: Our long-term data demonstrate that laparoscopic RYGBP is a safe and effective operation for morbidly obese adolescents, in the proper setting. We advocate that surgical intervention be recommended for this population using the same NIH guidelines used for adults.

Cited by 24 publications

References 35 publications

Long-Term Outcome of Bariatric Surgery in Morbidly Obese Adolescents: a Systematic Review and Meta-Analysis of 950 Patients with a Minimum of 3 years Follow-Up

Long-Term Outcome of Bariatric Surgery in Morbidly Obese Adolescents: a Systematic Review and Meta-Analysis of 950 Patients with a Minimum of 3 years Follow-Up

Robotic-Assisted Mini-Gastric By-Pass for Diabetes in Children: A First Case Report and Review of the Literature

Evaluation and Treatment of Severe Obesity in Childhood

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