Laparoscopic Sleeve Gastrectomy in Children Younger Than 14 Years: Refuting the Concerns

@article{Alqahtani2016LaparoscopicSG,
  title={Laparoscopic Sleeve Gastrectomy in Children Younger Than 14 Years: Refuting the Concerns},
  author={Aayed R. Alqahtani and Mohamed O Elahmedi and Awadh R. Al Qahtani},
  journal={Annals of Surgery},
  year={2016},
  volume={263},
  pages={312–319}
}
Objective:To evaluate the effect of laparoscopic sleeve gastrectomy (LSG) on growth in children younger than 14 years in a matched control study. Background:Debatable concerns result in denying young children access to bariatric surgery. Methods:Our multidisciplinary program database was used to extract data of young nonsyndromic children (age ⩽14 years) who underwent LSG. Patients were age, sex, and height z-score matched with those on nonsurgical weight management, and their results were… Expand
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Laparoscopic sleeve gastrectomy in adolescents with or without syndromic obesity: two years follow-up
TLDR
LSG is advantageous in the treatment of morbidly obese juveniles concerning safety, weight loss and co-morbidity control and at same time presenting, a possible effective therapeutic option for patients affected by congenital syndrome. Expand
Laparoscopic sleeve gastrectomy as first-line surgical treatment for morbid obesity among adolescents.
TLDR
Short- and long-term weight loss appears to be successful following laparoscopic sleeve gastrectomy in morbidly obese adolescents, and LSG should be strongly considered as a first-line surgical therapy in patients under 21years of age. Expand
Efficacy and Safety of Laparoscopic Sleeve Gastrectomy in Adolescents
TLDR
The safety and efficacy of laparoscopic sleeve gastrectomy (LSG) in the adolescent (≤21 years) population in two University hospitals in Lebanon is assessed. Expand
Endoscopic Sleeve Gastroplasty in 109 Consecutive Children and Adolescents With Obesity: Two-Year Outcomes of a New Modality.
TLDR
Significant weight loss occurs during the first 2 years without mortality or significant morbidity, and this weight loss seems to be maintained. Expand
Thirty‐day outcomes for children and adolescents undergoing laparoscopic sleeve gastrectomy at a free‐standing children's hospital
The obesity epidemic continues to affect millions of children and adolescents. Non‐surgical options do not result in significant or sustained weight loss; thus bariatric surgery has become… Expand
Sugar Detection Threshold After Laparoscopic Sleeve Gastrectomy in Adolescents
TLDR
LSG did not affect the taste detection threshold for sucrose, suggesting that the shift in preference for sugary foods may be due to factors other than fundamental changes in taste sensitivity. Expand
Durability of Cardiometabolic Outcomes Among Adolescents After Sleeve Gastrectomy: First Study with 9-Year Follow-up
TLDR
LSG achieved substantial weight loss and remission of cardiometabolic risk factors that were sustained on the long term, this is the first study among adolescents to assess such outcomes beyond 7 years. Expand
Perioperative Course, Weight Loss and Resolution of Comorbidities After Primary Sleeve Gastrectomy for Morbid Obesity: Are There Differences Between Adolescents and Adults?
TLDR
LSG is a safe therapeutic option that can be performed in adolescents without mortality and all future efforts should now be focused on the evaluation of the long-term outcomes of LSG in the pediatric population. Expand
Outcomes of Bariatric Surgery in Older Versus Younger Adolescents
TLDR
The differences in outcome of metabolic and bariatric surgery between younger and older adolescents were few and suggest that younger adolescents with severe obesity should not be denied consideration for surgical therapy on the basis of age alone and that providers should consider adolescents of all ages for surgical Therapy for obesity when clinically indicated. Expand
Bariatric Surgery in Children: Indications, Types, and Outcomes
TLDR
This review will discuss the different types of metabolic and bariatric surgery procedures, guidelines for patient selection, and recent findings regarding surgical outcomes and complications regarding obesity-associated comorbidities. Expand
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References

SHOWING 1-10 OF 67 REFERENCES
Laparoscopic Sleeve Gastrectomy in 108 Obese Children and Adolescents Aged 5 to 21 Years
TLDR
LSG resulted in successful short-term weight loss in more than 90% of pediatric patients and 70% or more comorbidity resolution during up to 24 months of follow-up, and long-term data are necessary to evaluate persistence of weight loss and maturation to adulthood. Expand
Laparoscopic sleeve gastrectomy in adult and pediatric obese patients: a comparative study
TLDR
Laparoscopic sleeve gastrectomy in the pediatric age group is of similar safety and effectiveness compared with adults, and Pediatric patients had fewer major complications and were more compliant with follow-up than adults. Expand
Five-year results of laparoscopic sleeve gastrectomy.
TLDR
LSG was effective 5.9 years postoperatively with an excessive BMI loss of almost 60% and a considerable improvement or even remission of co-morbidities. Expand
Co-morbidity resolution in morbidly obese children and adolescents undergoing sleeve gastrectomy.
TLDR
LSG performed on children and adolescents results in remission or improvement of>90% of co-morbidities within 2 years after bariatric surgery with few complications, no mortality, and normal growth. Expand
Laparoscopic adjustable gastric banding in adolescent: safety and efficacy.
TLDR
The absence of significant nutritional deficiency, the continued adjustability, and potential reversibility of LAGB make it the safest, least invasive, and most effective bariatric surgery that can be offered to the young and adolescent population. Expand
Laparoscopic adjustable gastric banding in severely obese adolescents: a randomized trial.
TLDR
Among obese adolescent participants, use of gastric banding compared with lifestyle intervention resulted in a greater percentage achieving a loss of 50% of excess weight, corrected for age, and there were associated benefits to health and quality of life. Expand
Systematic Review and Meta-Analysis of Bariatric Surgery for Pediatric Obesity
Objective:The prevalence of morbid obesity has risen sharply in recent years, even among pediatric patients. Bariatric surgery is used increasingly in an effort to induce weight loss, improve medical… Expand
Bariatric surgery: a systematic review and meta-analysis.
TLDR
Effective weight loss was achieved in morbidly obese patients after undergoing bariatric surgery, and a substantial majority of patients with diabetes, hyperlipidemia, hypertension, and obstructive sleep apnea experienced complete resolution or improvement. Expand
Bariatric surgery versus intensive medical therapy for diabetes--3-year outcomes.
TLDR
Among obese patients with uncontrolled type 2 diabetes, 3 years of intensive medical therapy plus bariatric surgery resulted in glycemic control in significantly more patients than did medical therapy alone. Expand
Bariatric surgery for extreme adolescent obesity: indications, outcomes, and physiologic effects on the gut-brain axis.
  • S. Xanthakos
  • Medicine
  • Pathophysiology : the official journal of the International Society for Pathophysiology
  • 2008
TLDR
Alterations in the enteric hormones involved in the gut-brain axis that regulates appetite and energy expenditure may play a role in both the anorexigenic and weight-reducing effects of certain bariatric surgical procedures. Expand
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