Sleeve gastrectomy for the treatment of adolescent obesity in children aged 13 and under: a retrospective study.

Autor:	Liang NE; Department of Surgery, Division of Pediatric Surgery, Stanford University School of Medicine, Stanford, California. Electronic address: nliang@stanford.edu., Herdes RE; Department of Pediatrics, Division of Pediatric Gastroenterology, Hepatology, and Nutrition, Stanford University School of Medicine, Stanford, California., Balili R; Department of Surgery, Division of Pediatric Surgery, Stanford University School of Medicine, Stanford, California., Pratt JSA; Department of Surgery, Division of Pediatric Surgery, Stanford University School of Medicine, Stanford, California., Bruzoni M; Department of Surgery, Division of Pediatric Surgery, Stanford University School of Medicine, Stanford, California.
Jazyk:	angličtina
Zdroj:	Surgery for obesity and related diseases : official journal of the American Society for Bariatric Surgery [Surg Obes Relat Dis] 2024 Apr; Vol. 20 (4), pp. 354-361. Date of Electronic Publication: 2023 Dec 10.
DOI:	10.1016/j.soard.2023.12.005
Abstrakt:	Background: Sleeve gastrectomy (SG) induces weight reduction and improves metabolic co-morbidities in children with severe obesity but remains underutilized, especially for young adolescents and preadolescents. Objective: We hypothesized there would be no differences in weight loss or co-morbidity resolution at 1 year post-SG in children who underwent SG at 13 years or younger compared to children who underwent SG at 17-18 years old. Setting: Academic medical center, United States. Methods: Medical records of children who underwent laparoscopic SG at a quaternary academic center from September 2014 to October 2022 were reviewed. A cohort of 15 patients, ≤13 years of age, was compared to a matched cohort of 15 older adolescent patients. Preoperative characteristics and postoperative outcomes were collected. Results: Both cohorts had similar baseline characteristics. Median preoperative body mass index (BMI) was 51.8 kg/m 2 for the ≤13 cohort compared to 50.9 kg/m 2 in the older cohort (P = .87). Time to postoperative enteral feeds and length of stay were similar between both groups, and there were no 30-day readmissions or immediate postoperative complications. Median percentage excess BMI loss at 1 year postoperation was 54% (IQR, 25.5%-94.5%) for the ≤13 cohort compared with 44% (IQR, 34.0%-51.0%) for the older cohort (P = .34). Two of 11 patients were lost to follow-up in the younger group compared to 4 of 15 in the older group (P = .61). Both groups demonstrated significant improvement in metabolic syndrome co-morbidities after SG. Conclusion: SG in younger children is associated with successful postsurgical outcomes compared with adolescents, with effective weight loss and improvement of obesity-related metabolic co-morbidities. (Copyright © 2024 American Society for Metabolic and Bariatric Surgery. Published by Elsevier Inc. All rights reserved.)
Databáze:	MEDLINE
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