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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References
- Laparoscopic sleeve gastrectomy in 108 obese children and adolescents aged 5 to 21 years.Ann Surg. 2012; 256: 266-273
- Bariatric surgery in the management of childhood obesity: should there be an age limit?.Obes Surg. 2010; 20: 114-117
- Sleeve gastrectomy in a 10-year-old child.Obes Surg. 2008; 18: 733-736
- Recommendations for bariatric surgery in adolescents in Australia and New Zealand.Journal of paediatrics and child health. 2010; 46: 704-707
- Laparoscopic sleeve gastrectomy for a two-and a half year old morbidly obese child - A leap into the unknown.Int J Surg Case Rep. 2013; 4: 1055-1056
- Trends and racial/ethnic disparities in severe obesity among US children and adolescents, 1976-2006.Int J Pediatr Obes. 2011; 6: 12-20
- Bariatric surgery for severely obese adolescents.J Gastrointest Surg. 2003; 7 (discussion 107–8): 102-107
- Best practice updates for pediatric/adolescent weight loss surgery.Obesity (Silver Spring). 2009; 17: 901-910
- IPEG guidelines for surgical treatment of extremely obese adolescents.Journal Laparoendosc Adv Surg Tech A. 2009; 19 (xiv–xvi)
- ASMBS pediatric committee best practice guidelines.Surg Obes Relat Dis. 2012; 8: 1-7
- Severe obesity in children and adolescents: identification, associated health risks, and treatment approaches: a scientific statement from the American Heart Association.Circulation. 2013; 128: 1689-1712
- Two-year outcome of laparoscopic Roux-en-Y gastric bypass in adolescents with severe obesity: results from a Swedish Nationwide Study (AMOS).Int J Obes (Lond). 2012; 36: 1388-1395
O׳Brien PE, Sawyer SM, Laurie C, et al. Laparoscopic adjustable gastric banding in severely obese adolescents: a randomized trial. JAMA 303:519–26.
- Perioperative outcomes of adolescents undergoing bariatric surgery: the Teen-Longitudinal Assessment of Bariatric Surgery (Teen-LABS) study.JAMA Pediatr. 2014; 168: 47-53
- Sleeve gastrectomy for childhood morbid obesity: why not?.Obes Surg. 2010; 20: 118-120
- Adolescent bariatric surgery: ANZ guidance and recommendations.ANZ J Surg. 2011; 81: 854-855
- Three-decade metabolic outcome of neonatal gastrectomy and early Roux-en-Y.Pediatr Surg Int. 2014; 30: 249-252
Article info
Publication history
Published online: March 17, 2014
Accepted:
March 6,
2014
Received:
March 4,
2014
Identification
Copyright
© 2014 American Society for Bariatric Surgery. Published by Elsevier Inc. All rights reserved.
ScienceDirect
Access this article on ScienceDirectLinked Article
- Co-morbidity resolution in morbidly obese children and adolescents undergoing sleeve gastrectomySurgery for Obesity and Related DiseasesVol. 10Issue 5
- PreviewBariatric 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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