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

  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},
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… 
Laparoscopic sleeve gastrectomy in adolescents with or without syndromic obesity: two years follow-up
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.
Efficacy and Safety of Laparoscopic Sleeve Gastrectomy in Adolescents
The safety and efficacy of laparoscopic sleeve gastrectomy (LSG) in the adolescent (≤21 years) population in two University hospitals in Lebanon is assessed.
Endoscopic Sleeve Gastroplasty in 109 Consecutive Children and Adolescents With Obesity: Two-Year Outcomes of a New Modality.
Significant weight loss occurs during the first 2 years without mortality or significant morbidity, and this weight loss seems to be maintained.
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
Laparoscopic Sleeve Gastrectomy: Outcomes, Safety and Complications
  • Wahiba Elhag, W. El Ansari
  • Medicine
    Bariatric Surgery - From the Non-surgical Approach to the Post-surgery Individual Care [Working Title]
  • 2020
This chapter will provide a comprehensive review on the outcomes of LSG as a metabolic surgery, appraising LSG’s short, mid and long term weight loss outcomes, and compares these outcomes with those of other types of bariatric surgery.
Sugar Detection Threshold After Laparoscopic Sleeve Gastrectomy in Adolescents
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.
Durability of Cardiometabolic Outcomes Among Adolescents After Sleeve Gastrectomy: First Study with 9-Year Follow-up
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.
Perioperative Course, Weight Loss and Resolution of Comorbidities After Primary Sleeve Gastrectomy for Morbid Obesity: Are There Differences Between Adolescents and Adults?
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.


Laparoscopic Sleeve Gastrectomy in 108 Obese Children and Adolescents Aged 5 to 21 Years
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.
Laparoscopic sleeve gastrectomy in adult and pediatric obese patients: a comparative study
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.
Five-year results of laparoscopic sleeve gastrectomy.
Co-morbidity resolution in morbidly obese children and adolescents undergoing sleeve gastrectomy.
Laparoscopic adjustable gastric banding in adolescent: safety and efficacy.
Laparoscopic adjustable gastric banding in severely obese adolescents: a randomized trial.
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.
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
Bariatric surgery versus intensive medical therapy for diabetes--3-year outcomes.
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.
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