Pediatric bariatric surgery: the clinical pathway

Obesity Surgery
Aayed R Alqahtani, Mohamed Elahmedi

Abstract

Despite the rising interest in bariatric surgery (BS) for children and adolescents, algorithms that incorporate BS in weight management (WM) programs are lacking. This study presents the results of the pediatric bariatric surgery clinical pathway employed in our institution. Starting March 2008, we enrolled obese children and adolescents in a standardized multidisciplinary obesity management program. Weight loss, complications, comorbidities, and growth results of those who eventually underwent BS were compared with a matched (age, gender, and height z-score) group of patients on non-surgical WM only. Up to July 2014, a total of 659 patients received care through the pathway, of whom 291 patients underwent laparoscopic sleeve gastrectomy (LSG). Mean age and pre-LSG body mass index (BMI) were 14.4 ± 4.0 years (range; 5 to 21 years) and 48.3 ± 10.0 (range; 31.8-109.6). Mean BMI change (% excess weight loss) at 1, 2, 3, and 4 postoperative years was -16.9 ± 4.9 (56.6 ± 22.6), -17.5 ± 5.2 (69.8 ± 22.5), -18.9 ± 4.3 (75.1 ± 26.8), and -19.6 ± 6.4 (73.6 ± 24.3), respectively. Postoperatively, complications occurred in 12 patients (4.1%), with no leaks or mortality, and more than 90% of comorbidities were resolved or improved without ...Continue Reading

Associated Clinical Trials

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Citations

Oct 4, 2015·Surgery for Obesity and Related Diseases : Official Journal of the American Society for Bariatric Surgery·Aayed R AlqahtaniMerlin G Butler
Nov 18, 2015·Surgery for Obesity and Related Diseases : Official Journal of the American Society for Bariatric Surgery·Aayed R Alqahtani
Jun 12, 2016·Der Internist·A Dietrich, S Nitschmann
Nov 4, 2016·Obesity Surgery·Ramon VilallongaJuan Carlos Ruiz de Adana
Dec 5, 2017·Obesity Surgery·Ghalia N AbdeenCarel W le Roux
Aug 11, 2017·Archives of Disease in Childhood·Billy WhiteRussell M Viner
Oct 29, 2019·The American Journal of Gastroenterology·Aayed AlqahtaniAbdullah Al-Darwish
Jul 30, 2017·Current Obesity Reports·Mohamed O Elahmedi, Aayed R Alqahtani
May 26, 2018·Obesity Surgery·Subothini Sara SelvendranSanjay Purkayastha

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