Laparoscopic sleeve gastrectomy in adult and pediatric obese patients: a comparative study

  title={Laparoscopic sleeve gastrectomy in adult and pediatric obese patients: a comparative study},
  author={Aayed R. Alqahtani and Hussam Alamri and Mohamed O. Elahmedi and Rafiuddin Mohammed},
  journal={Surgical Endoscopy},
BackgroundLaparoscopic sleeve gastrectomy (LSG) is a recent bariatric procedure that has gained widespread popularity in morbidly obese adults. However, pediatric bariatric surgery is controversial, and the type(s) of bariatric surgery that are suitable for children and adolescents is under debate. No studies exit that compare LSG outcomes in adult and pediatric patients. We reviewed our experience to assess the safety, efficacy, and complications of LSG in adult and pediatric morbidly obese… 
Laparoscopic Sleeve Gastrectomy for Late Adolescent Population
Laparoscopic sleeve gastrectomy represents an attractive bariatric procedure for adolescent patients, more efficient than gastric banding and with less morbidity compared to gastric bypass.
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.
Laparoscopic Sleeve Gastrectomy in Children Younger Than 14 Years: Refuting the Concerns
LSG is evidently safe and effective in this age group, resulting in significant weight loss, improved growth, and resolution of comorbidities without mortality or significant morbidity, challenges existing concerns regarding the safety and efficacy of bariatric surgery in prepubertal children.
Laparoscopic sleeve gastrectomy in children and adolescents with Prader-Willi syndrome: a matched control study.
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.
Original article Laparoscopic sleeve gastrectomy in children and adolescents with Prader-Willi syndrome: a matched-control study
PWS children and adolescents underwent effective weight loss and resolution of comorbidities after laparoscopic sleeve gastrectomy, without mortality, significant morbidity, or slowing of growth.
Pediatric Bariatric Surgery: The Clinical Pathway
Applying this standardized clinical pathway with its BS component results in safe and successful weight loss for pediatric patients, with low complication rates, maximum comorbidity resolution, and minimum morbidity.
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.
Co-morbidity resolution in morbidly obese children and adolescents undergoing sleeve gastrectomy.
Reply to letter: "laparoscopic sleeve gastrectomy in 108 obese children and adolescents ages 5 to 21 years".
Outcome data were reported for only 1 of 13 children in the younger than 14 years subgroup, a decline in body mass index reported at 12 months after sleeve gastrectomy for the 5-year-old girl with Prader-Willi syndrome, and the genetic syndrome diagnostic criteria for these children were unavailable in the article.


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.
Efficacy of Laparoscopic Sleeve Gastrectomy (LSG) as a Stand-Alone Technique for Children with Morbid Obesity
At a 1-year follow-up, LSG proved a safe and effective option for bariatric surgery in children, achieving moderate weight loss and improvement of comorbidities and may be considered as stand-alone technique.
Laparoscopic sleeve gastrectomy achieves substantial weight loss in an adolescent girl with morbid obesity.
  • H. Till, O. Muensterer, W. Kiess
  • Medicine
    European journal of pediatric surgery : official journal of Austrian Association of Pediatric Surgery ... [et al] = Zeitschrift fur Kinderchirurgie
  • 2008
LSG is a safe and effective option for bariatric surgery in obese adolescents and can be offered as a stand-alone restrictive operation and could be extended to a malabsorptive procedure at any time, however longer follow-up is required before universally recommending this procedure.
Perioperative outcomes of bariatric surgery in adolescents compared with adults at academic medical centers.
  • J. Varela, M. Hinojosa, N. Nguyen
  • Medicine
    Surgery for obesity and related diseases : official journal of the American Society for Bariatric Surgery
  • 2007
A Review of Laparoscopic Sleeve Gastrectomy for Morbid Obesity
Although LSG is a promising treatment option for patients with morbid obesity, its role remains undefined and it should be considered an investigational procedure that may require revision in a subset of patients.
Robotic gastric banding in children and adolescents: a comparative study
This comparative study between RAGB and LAGB in children and adolescents demonstrates the feasibility and safety of RAGB, however, the procedure requires significantly more operative time than LAGB and fails to provide improved patient outcome.
Sleeve Gastrectomy in a 10-year-old Child
A LSG may be the ideal bariatric operation for ABS with MO, which was done in a 10-year-old boy who has Blount’s disease with severe pain at the knee joints that made him a wheelchair-bound person.
Bariatric Surgery in the Management of Childhood Obesity: Should There be an Age Limit?
We report a case of a 6-year-old girl suffering from morbid obesity, Blount`s disease, and significant social and functional impairment who underwent a laparoscopic sleeve gastrectomy. One year