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Laparoscopic Sleeve Gastrectomy for Adolescents Under 18 Years Old with Severe Obesity

  • Panagiotis LainasEmail author
  • Gianpaolo De Filippo
  • Giuseppe Di Giuro
  • Rabih Mikhael
  • Pierre Bougneres
  • Ibrahim Dagher
Original Contributions
  • 27 Downloads

Abstract

Introduction

Laparoscopic sleeve gastrectomy (LSG) is a widely accepted stand-alone bariatric operation. Data on adolescent patients undergoing LSG are limited. The aim of this study was to demonstrate that LSG is safe and effective for patients strictly under 18 years old with severe obesity.

Methods

Prospectively collected data from consecutive patients undergoing LSG were retrospectively analyzed. Patients with more than 1-year follow-up were included in the analysis for weight loss and comorbidity evaluation. Quality of life (QoL) was evaluated using the Short-Form 36 questionnaire.

Results

Eighty-four patients under 18 years old (range: 15–17 years) underwent LSG. Median weight was 128 kg and median body mass index (BMI) 43.7 kg/m2. Median duration of surgery was 68.5 min. One major complication was recorded: a patient developed severe pneumonia that necessitated ventilatory support in intensive care unit and intravenous antibiotic treatment. Mortality was null. Median length of hospital stay was 4 days. Six, 12, and 24 months after LSG, median BMI decreased significantly to 34.3, 29.8, and 28.8 kg/m2, respectively (p < 0.001), with a mean percentage of total body weight loss of 29.1% at 2 years. Obesity-related comorbidities improved at 1 year, while all SF-36 scale scores of QoL assessment improved significantly.

Conclusion

This study suggests that LSG is safe and effective for patients under 18 years old, resulting in significant weight loss, comorbidity remission, and QoL improvement. Careful patient selection after adequate risk versus benefit evaluation by an expert multidisciplinary team is essential.

Keywords

Obesity Bariatric surgery Sleeve gastrectomy 18 years old Adolescents Laparoscopy 

Notes

Compliance with Ethical Standards

Conflict of Interest

The authors declare that they have no conflicts of interest.

Ethical Approval

All procedures performed in studies involving human participants were in accordance with the ethical standards of the institutional research committee and with the 1964 Helsinki declaration and its later amendments or comparable ethical standards.

Informed Consent

Informed consent was obtained from all individual participants included in the study.

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Copyright information

© Springer Science+Business Media, LLC, part of Springer Nature 2019

Authors and Affiliations

  1. 1.Department of Minimally Invasive Digestive Surgery, Antoine-Beclere HospitalAssistance Publique - Hôpitaux de ParisClamartFrance
  2. 2.Paris-Saclay UniversityOrsayFrance
  3. 3.Department of Adolescent Medicine, Bicetre HospitalAssistance Publique - Hôpitaux de ParisLe Kremlin-BicêtreFrance
  4. 4.French Clinical Research Group in Adolescent Medicine and HealthParisFrance
  5. 5.Department of Digestive SurgeryOrsay HospitalOrsayFrance

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