The effectiveness of laparoscopic sleeve gastrectomy surgery applied to morbidly obese adolescents

Bariatric surgery in adolescents

Authors

DOI:

https://doi.org/10.5281/zenodo.8395778

Keywords:

Adolescent, bariatric surgery, obesity, sleeve gastrectomy

Abstract

Objective: This study aimed to define the demographic features of adolescent patients who underwent bariatric surgery, laparoscopic sleeve gastrectomy (LSG), before the surgery and during the hospital stay period.
Methods: This is a descriptive retrospective study. It retrospectively screened 70 patients who underwent bariatric surgery, finding nine patients. Patients above 18 years old and those without a diagnosis of morbid obesity (those with a body mass index equal to or less than 40) were excluded from the study.
Results: Of the participants, 66.7% (n=6) were females and 33.3% (3) were males, and the mean age of all patients was 17.44±0.88 (ranging from 16 to 18). The body mass index for females was 43.47±3.01 kg/m2, while for males, it was 47.9±6.35 kg/m2 (p=0.178). The average duration of hospital stay was 4.33±0.58 days for males, 3.33±0.52 days for females, and 3.67±0.71 days for the whole group (p=0.033). No death was reported.
Conclusion: We believe that bariatric surgery is necessary for an adolescent age group whose morbid obesity persists after medical treatments both to decrease comorbidity burden and to prevent more serious problems that may develop later. We believe that this procedure, which we have reported as being applied safely in adolescent age groups, should be repeated in future trials, including multicenter prospective and long-term follow-up studies.

References

DePauw R, Claessens M, Gorasso V,Drieskens S, Faes C, Devleesschauwer B. Past, present, and future trends of overweight and obesity in Belgium using Bayesian age-period-cohort models. BMC Public Health 2022;22:1309.

Vajravelu ME, Tas E, Arslanian S. Pediatric Obesity: Complications and Current Day Management. Life. 2023;13:1591.

Fujikawa T, Kobayashi M, Wagner S, Duarte K, Scherdel P, Heude B, et al. Associations of childhood adiposity with adult intima-media thickness and inflammation: a 20-year longitudinal population-based cohort. J Hypertens. 2023;41:402-10.

Park H, Jun S, Lee HA, Kim HS, Hong YS, Park H. The Effect of Childhood Obesity or Sarcopenic Obesity on Metabolic Syndrome Risk in Adolescence: The Ewha Birth and Growth Study. Metabolites. 2023;13:133.

Boye KS, Ford JH, Thieu VT, Lage MJ, Terrell KA. The Association Between Obesity and the 5-Year Prevalence of Morbidity and Mortality Among Adults with Type 2 Diabetes. Diabetes Ther. 2023;14:709-21.

Farrant B, Utter J, Ameratunga S, Clark T, Fleming T, Denny S. Prevalence of severe obesity among New Zealand adolescents and associations with health risk behaviors and emotional well-being. J Pediatr. 2013;163:1439.

Ells LJ, Hancock C, Copley VR, Mead E, Dinsdale H, Kinra S,et al. Prevalence of severe childhood obesity in England: 2006-2013. Arch Dis Child. 2015;100:631-6.

Skinner AC, Skelton JA. Prevalence and trends in obesity and severe obesity among children in the United States, 1999-2012. JAMA Pediatr. 2014;168:561-6.

Ng M, Fleming T, Robinson M, Graetz N, Margono C, Mullany EC, et al. Global, regional, and national prevalence of overweight and obesity in children and adults during 19802013: a systematic analysis for the Global Burden of Disease Study 2013. Lancet. 2014;384:766-81.

Vaisse C, Clement K, Durand E, Hercberg S, Guy-Grand B, Froguel P. Melanocortin-4 receptor mutations are a frequent and heterogeneous cause of morbid obesity. J Clin Invest. 2000;106:253-62.

Lam BYH, Williamson A, Finer S, Day FR, Tadross JA, Gonçalves Soares A, et al. MC3R links nutritional state to childhood growth and the timing of puberty. Nature. 2021;599:436-41.

Kim JH, Choi JH. Pathophysiology and clinical characteristics of hypothalamic obesity in children and adolescents. Ann Pediatr Endocrinol Metab. 2013;18:161-7.

Holder JL Jr, Butte NF, Zinn AR. Profound obesity associated with a balanced translocation that disrupts the SIM1 gene. Hum Mol Genet. 2000;9:101-8.

Le Collen L, Delemer B, Poitou C, Vaxillaire M, Toussaint B, Dechaume A, et al. Heterozygous pathogenic variants in POMC are not responsible for monogenic obesity: Implication for MC4R agonist use. Genet Med. 2023;25:100857.

Nalbantoğlu Ö, Hazan F, Acar S, Gürsoy S, Özkan B. Screening of non-syndromic early-onset child and adolescent obese patients in terms of LEP, LEPR, MC4R and POMC gene variants by next-generation sequencing. J Pediatr Endocrinol Metab. 2022;35:1041-50.

Oude LH, Baur L, Jansen H, Shrewsbury VA, O'Malley C, Stolk RP, et al. Interventions for treating obesity in children. Cochrane Database Syst Rev. 2009;1:001872.

Lee Y, Anvari S, Sam Soon M, Tian C, Wong JA, Hong D, et. al. Bariatric surgery as a bridge to heart transplantation in morbidly obese patients. A systematic review and meta-analysis. Cardiol Rev. 2022;30:1–7.

Schilling PL, Davis MM, Albanese CT, Dutta S, Morton J. National trends in adolescent bariatric surgical procedures and implications for surgical centers of excellence. J Am Coll Surg. 2008;206:1-12.

Angrisani L, Santonicola A, Iovino P, Formisano G, Buchwald H, Scopinaro N. Bariatric Surgery Worldwide 2013. Obes Surg. 2015;25:1822-32.

Zwintscher NP, Azarow KS, Horton JD, Newton CR, Martin MJ. The increasing incidence of adolescent bariatric surgery. J Pediatr Surg. 2013;48:2401-7.

Yu C, Yang T, Yan Q, Li D, Wang Y, Yang X, et al. Application of Laparoscopic Gastric Jejunum Uncut Roux-en-Y Anastomosis. Gastroenterol Res Pract. 2022;2022:9496271.

Till H, Mann O, Singer G, Weihrauch-Blüher S. Update on Metabolic Bariatric Surgery for Morbidly Obese Adolescents. Children (Basel). 2021;8:372.

Karmali S, Johnson Stoklossa C, Sharma A, Stadnyk J, Christiansen S, Cottreau D, et al. Bariatric surgery: a primer. Can Fam Physician. 2010;56:873-9.

Downloads

Published

2023-10-01

How to Cite

Doğan, M., & Demiriz, B. (2023). The effectiveness of laparoscopic sleeve gastrectomy surgery applied to morbidly obese adolescents : Bariatric surgery in adolescents. The Injector, 2(3), 178–182. https://doi.org/10.5281/zenodo.8395778

Issue

Section

Original Article