National survey for bariatric procedures in adolescents: Long time follow-up
| Autor: | Franco Favretti, Roberto Castellani, Francesco Saverio Camoglio, Mauro Toppino, Nicola Zampieri |
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| Rok vydání: | 2016 |
| Předmět: |
Male
Pediatrics medicine.medical_specialty Sleeve gastrectomy Pediatric Obesity Outcome Assessment Adolescent medicine.medical_treatment Bariatric Surgery 030209 endocrinology & metabolism Bariatric procedures Obesity Adolescent Bariatric Surgery Female Follow-Up Studies Gastrectomy Humans Hypertension Italy Outcome Assessment Health Care Retrospective Studies Weight Loss Gastric Balloon 03 medical and health sciences 0302 clinical medicine Weight loss medicine Adjustable gastric band Obesity business.industry Bariatric procedures Retrospective cohort study General Medicine Evidence-based medicine medicine.disease Health Care Pediatrics Perinatology and Child Health Inclusion and exclusion criteria 030211 gastroenterology & hepatology Surgery Female medicine.symptom business |
| Zdroj: | Journal of pediatric surgery. 52(10) |
| ISSN: | 1531-5037 |
| Popis: | The role of bariatric surgery and its role in adolescent is still under discussion worldwide. The aim of this study is to report an Italian survey for bariatric procedures in adolescents and the outcome with a medium and long-term follow-up.We retrospectively analyzed consecutive data added into the Italian register of the society for bariatric surgery(period 2000-2010). We evaluated all patients treated in a 10-year period with a mean follow-up of 3 years. Inclusion and exclusion criteria were created. All patients were aged between 13 and 18 years. We evaluated and compared clinical data.After reviewing medical charts, 173 patients were considered for the study; 85 patients were treated with adjustable gastric band (AGB), 47 with intragastric balloon (IB), 26 with sleeve gastrectomy (SG) and other 15 patients with malabsorptive techniques (MT). Among clinical data, there was a statistical difference in terms of %excess weight loss (%EWL) between techniques only after 1 year post-procedure; at 5 years, considering the percentage of patients studied, sleeve gastrectomy had the best %EWL respect to other non malabsorptive techniques (p0.05); at 5 year more than 90% resolved their comorbidities especially hypertension, dyspnea, orthopedic problems and dyspnea.This study is the first reporting a national survey in adolescent; more than 80% of patients are followed until 5 years post-op but only few patients (less than 5%) until 10 years. Our results demonstrated that sleeve gastrectomy in adolescent is safe and had a better %EWL respect to other non-malabsorptive bariatric procedures.level III. |
| Databáze: | OpenAIRE |
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