•  
  •  
 

Corresponding Author

Mohamed Abbas Emara

Document Type

Original Article

Abstract

Background: Obesity affects children and adults across all age groups. The prevalence of obesity is as high as 21.4% in pediatric age groups. This increase in prevalence is associated with significant health implications and necessitates effective interventions. the results of weight loss surgery in children and adolescents are still scarce, despite recent studies suggesting favorable short- and intermediate-term outcomes that are comparable to those in adults. Although evidence continues to emerge, as this solution is still denied to children. Herne this study tried to evaluate the safety and efficacy of laparoscopic sleeve gastrectomy (LSG) in children and adolescents.

Methods: This a prospective study conducted at Pediatric Surgery Department, Al-Azhar University Hospitals (From Jan 2018 to Jun 2022) included all pediatrics with class 2 and 3 obesities and have obesity related comorbidities. All patients were submitted to LSG then followed up for one year to assess changes in preoperative body weight, comorbidities and detect any adverse outcome.

Results: the study included 20 patients 15 females and 5 males. Patients ages ranged from 12-18 years (mean = 15.25) all of them underwent LSG at our center. There was marked reduction of preoperative body mass index (BMI) from 47.13 ± 4.60 to 29.17 ± 3.40 (n=20) along the post-operative first year, with improvement of most of preoperative comorbidities. We had no significant intraoperative or postoperative complications.

Conclusion: LSG is safe and effective management of obesity in pediatrics, results effectively weight reduction and resolution of most of obesity related comorbidities.

Keywords

Pediatric obesity; Bariatric surgery; Pediatrics; weight loss; Laparoscopic sleeve gastrectomy.

Subject Area

Pediatrics & its Subspecialty., Endo-surgery

Download

Share

COinS