Laparoscopic sleeve gastrectomy in obese adolescents: results in 51 patients

Boza, Camilo; Viscido, Germán; Salinas, José; Crovari, Fernando; Funke, Ricardo; Pérez, Gustavo

doi:10.1016/j.soard.2011.11.021

Cited by 67 publications

(38 citation statements)

References 41 publications

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“…Although this study represents the largest experience to date with VSG, another study of 51 adolescents who underwent VSG with 1-year follow-up essentially confirms these weight loss and safety findings. 219 Although much more research is needed, VSG may prove to be a safer alternative with fewer nutritional risks than RYGB, with no device/foreign body-related complications, while providing weight loss comparable to other modern weight loss operations. Current knowledge gaps remain concerning durability of weight loss, incidence of gastroesophageal reflux induced by the procedure, and long-term nutritional risks.…”

Section: Laparoscopic Vsgmentioning

confidence: 99%

Severe Obesity in Children and Adolescents: Identification, Associated Health Risks, and Treatment Approaches

Kelly¹,

Barlow

Rao³

et al. 2013

Circulation

851

783

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espite recent data suggesting that the rate of increase of obesity among children and adolescents has slowed and overall prevalence has possibly begun to plateau, 1,2 a worrisome trend has emerged in the form of severe pediatric obesity. As the fastest-growing subcategory of obesity in children and adolescents, 1,3,4 severe obesity afflicts between 4% and 6% of all youth in the United States 3-7 and has both immediate and long-term health consequences. Recent data further Abstract-Severe obesity afflicts between 4% and 6% of all youth in the United States, and the prevalence is increasing.Despite the serious immediate and long-term cardiovascular, metabolic, and other health consequences of severe pediatric obesity, current treatments are limited in effectiveness and lack widespread availability. Lifestyle modification/behaviorbased treatment interventions in youth with severe obesity have demonstrated modest improvement in body mass index status, but participants have generally remained severely obese and often regained weight after the conclusion of the treatment programs. The role of medical management is minimal, because only 1 medication is currently approved for the treatment of obesity in adolescents. Bariatric surgery has generally been effective in reducing body mass index and improving cardiovascular and metabolic risk factors; however, reports of long-term outcomes are few, many youth with severe obesity do not qualify for surgery, and access is limited by lack of insurance coverage. To begin to address these challenges, the purposes of this scientific statement are to (1) provide justification for and recommend a standardized definition of severe obesity in children and adolescents; (2) raise awareness of this serious and growing problem by summarizing the current literature in this area in terms of the epidemiology and trends, associated health risks (immediate and long-term), and challenges and shortcomings of currently available treatment options; and (3) highlight areas in need of future research. Innovative behavior-based treatment, minimally invasive procedures, and medications currently under development all need to be evaluated for their efficacy and safety in this group of patients with high medical and psychosocial risks. (Circulation. 2013;128:1689-1712.)

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Section: Laparoscopic Vsgmentioning

confidence: 99%

Severe Obesity in Children and Adolescents: Identification, Associated Health Risks, and Treatment Approaches

Kelly¹,

Barlow

Rao³

et al. 2013

Circulation

851

783

View full text Add to dashboard Cite

show abstract

“…The remnant of the stomach becomes a tube-like or sleeve-like structure, thus limiting the quantity of food that can be consumed. In a study of 51 adolescents, per cent of excess weight loss over 2 years was as high as 93–94% 47. LVSG avoids implantation of a foreign body (such as with adjustable gastric banding) and manipulation of the intestine with comparable weight loss, and is becoming more commonly used in the adolescent population.…”

Section: Medical Treatment Of Severe Childhood Obesitymentioning

confidence: 99%

Severe childhood obesity: an under-recognised and growing health problem

Bass

Eneli

2015

Postgraduate Medical Journal

125

105

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Childhood obesity is a serious and urgent public health problem. In the last 10 years, there has been a concerted effort in the USA and globally to develop and implement educational, medical and public health interventions designed to attenuate its growth. The success of these efforts was probably responsible for the plateau in the prevalence rate of childhood obesity noted in the last two years. While the attenuation of the overall prevalence of childhood obesity is promising, data from the same cohort reveal a concerning upward trend in the number of children with severe obesity. The consequences of severe childhood obesity can be devastating. When compared to their moderately obese peers, children with severe obesity are at greater risk for adult obesity, early atherosclerosis, hypertension, type 2 diabetes, metabolic syndrome, fatty liver disease and premature death. The determinants for severe obesity include the same lifestyle, environmental, familial and societal risk factors reported for overweight or obesity. While all these risk factors must be screened for, genetic influences are distinct considerations that may have greater bearing especially with early-onset obesity. Treatments for severe childhood obesity include lifestyle intervention, specialised low-calorie diets and bariatric surgery. Outcomes of these treatments vary, with bariatric surgery clearly the most successful of the three for both short-term and long-term weight loss. Severe obesity in children and adolescents remains a challenging health condition. The enormous medical, emotional and financial burden these children and their families endure signals an urgent need to further investigate and standardise treatment modalities and improve outcomes.

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“…Так, частота гипергликемии натощак уменьшилась с 21 до 5%, инсулинорези-стентности -с 70 до 3%, гипертриглицеридемии -с 19 до 1%. Ряд исследователей [32,33] отмечают значительное улучшение качества жизни у подрост-ков после бариатрических операций.…”

Section: эффективность и безопасность оперативного леченияunclassified

Bariatric surgery in the treatment of morbid obesity in adolescents (literature review)

Okorokov

Леонидович²,

Vasyukova

et al. 2016

Probl Endokrinol (Mosk)

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Morbid obesity in children is associated with various metabolic complications, often persisting into adulthood and leading to reduced quality and duration of life. Conservative treatment of morbid obesity, often ineffective, and therefore, bariatric surgery in adolescents is becoming more common throughout the world. This review presents an analysis of international clinical guidelines for patient selection for bariatric surgery, assessed the efficiency and safety of different types of bariatric operations and identified the main problems of the widespread use of metabolic surgery as a method of treatment of morbid obesity in adolescents.

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Laparoscopic sleeve gastrectomy in obese adolescents: results in 51 patients

Cited by 67 publications

References 41 publications

Severe Obesity in Children and Adolescents: Identification, Associated Health Risks, and Treatment Approaches

Severe Obesity in Children and Adolescents: Identification, Associated Health Risks, and Treatment Approaches

Severe childhood obesity: an under-recognised and growing health problem

Bariatric surgery in the treatment of morbid obesity in adolescents (literature review)

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