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Bariatric surgery in the very young…. a stitch in time or a rush to judgment?

      In their article entitled, “Co-morbidity resolution in morbidly obese children and adolescents undergoing sleeve gastrectomy”, Al-Qahtani et al. present an analysis of anthropometric and co-morbidity change, and select clinical safety outcomes of sleeve gastrectomy (SG) in 74 preadolescent children (ages 5–12) and 115 adolescents. Their data show that SG can reduce weight and suggest an effect on co-morbidities and cardiovascular risk factors with few surgical complications. However, what is not known are the consequences of doing surgery in very young children and whether the risk-benefit ratio is acceptable. Unfortunately, the data being presented are not detailed enough to let readers make risk-benefit judgments.

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      Linked Article

      • Co-morbidity resolution in morbidly obese children and adolescents undergoing sleeve gastrectomy
        Surgery for Obesity and Related DiseasesVol. 10Issue 5
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          Bariatric surgery is becoming important for the reversal of co-morbidities in children and adolescents. We previously reported the safety and efficacy of laparoscopic sleeve gastrectomy (LSG) in the pediatric population. However, evidence pertaining to the effect of LSG on co-morbidities in this age group is scarce. The objective of this study was to assess the remission and improvement of co-morbidities (dyslipidemia, hypertension, diabetes, and obstructive sleep apnea) after LSG in children and adolescents.
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