Experiences with Laparoscopic Adjustable Gastric banding (LAGB) and Sleeve Gastrectomy (SG) in the treatment of patients with childhood craniopharyngioma and morbid obesity

Gebhardt, Ursel; Wessel, V.; Schröder, S.; Kolb, R; Wiegand, Christoph; Sörensen, N.; Maroske, Joern; Hanisch, E.; Müller, HL

doi:10.1055/s-0030-1265601

Cited by 1 publication

(5 citation statements)

References 0 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Two studies used the same participant data (n=3). 13,14 There were differences in the reporting of patient age across studies; ages at diagnosis ranged from 1 month to 16 years 5 months, and ages at participation ranged from 7 months to 30 years. The majority (24/30) of the retrieved studies focused on management of obesity, with six studies investigating underweight children.…”

Section: Resultsmentioning

confidence: 99%

“…Nineteen different interventions were used in the retrieved studies in total. Specified diagnoses were: craniopharyngioma (n=564, 74%), [13][14][15][16][17][18][19][20][21][22][23][24][25][26][27][28][29][30][31][32] medulloblastoma (n=94, 12%), 23,33,34 primary neuroectodermal tumour (n=10, 1%), 33,34 unspecified brain tumour (n=44, 6%), [35][36][37][38][39] unspecified brain trauma (n=2, 0.3%), 40 meningitis (n=1, 0.1%), 16 structural hypothalamic lesions (n=12, 2%), 41 astrocytoma (n=9, 1%), 22,23 germinioma (n=6, 0.8%), 22,23,26 optic pathway glioma (n=2, 0.3%), 22,39 lipoma (n=1, 0.1%), 26 hamartoma (n=1, 0.1%), 26 germ cell tumour (n=1, 0.1%), 42 and glioma (n=1, 0.1%). 26 In 11 cases (1%), patients could not be disaggregated from the sample by diagnosis.…”

Section: Resultsmentioning

confidence: 99%

“…33 Interventions combining nutritional and pharmaceutical support may require consideration. The evidence for overweight and obese children indicates that where pharmacological treatment is not demonstrated as effective, surgical intervention may require consideration, 13,14,21,25,27,28,31 although the long-term outcomes are yet to be determined. Studies need to identify the causes of weight change in children following ABI 7 and the potential prophylactic effects of medication.…”

Section: Resultsmentioning

confidence: 99%

“…18,29,30 A further surgical approach found to be effective in management of weight gain in this group was bariatric surgery including truncal vagotomy, 27 laparoscopic adjustable gastric band, [13][14][15]28,31,32 sleeve gastrostomy, 13,14,31,32 gastric bypass, 31 and Roux-en-Y gastric bypass. 21,25,32 These studies suggest that such surgical techniques may be effective in reducing BMI 13,14,21,25,27,28 as well as stabilizing weight gain. 31 Consequently, there is a potential benefit of bariatric surgery in children for whom pharmacological interventions have proven unsuccessful.…”

Section: Surgical Interventions For Overweight and Obese Childrenmentioning

confidence: 99%

“…Nineteen different interventions were used in the retrieved studies in total. Specified diagnoses were: craniopharyngioma (n=564, 74%), [13][14][15][16][17][18][19][20][21][22][23][24][25][26][27][28][29][30][31][32] 42 and glioma (n=1, 0.1%). 26 In 11 cases (1%), patients could not be disaggregated from the sample by diagnosis.…”

mentioning

confidence: 99%

See 4 more Smart Citations

Interventions for managing weight change following paediatric acquired brain injury: a systematic review

Shah

Lodh

Siddell

et al. 2016

Develop Med Child Neuro

View full text Add to dashboard Cite

ABI Acquired brain injury BMIBody mass index TBI Traumatic brain injury OBJECTIVE To systematically review literature reporting interventions for weight change following paediatric acquired brain injury (ABI).METHOD A systematic search of the literature was conducted using advanced search techniques. The retrieval identified 1562 papers, of which 30 were relevant. The total number of paediatric participants was 759. RESULTSThere is a paucity of higher quality evidence to support the use of weight change interventions following paediatric ABI. Substantial variation in screening, outcome measures, intervention, and reporting were demonstrated. Some support was found for the use of hypothalamic-sparing surgery as a method to prevent obesity following craniopharyngioma resection.INTERPRETATION There is a need for further study in this area to inform clinical and research practice; recommendations are given.Paediatric acquired brain injury (ABI) consists predominantly of traumatic brain injury (TBI) and brain tumours. In 2013 to 2014, there were 13 266 admissions for TBI and 5595 admissions for malignant neoplasms of the brain for patients under 18 years of age in UK hospitals. 1 There are a range of physical and neuropsychological sequelae following ABI associated with lasting impact on quality of life and survival.2 One such consequence is on appetite and weight, with the latter being frequently gained or lost significantly as a result of ABI and/or interventions.2 In addition to correlation with mortality, obesity and low body weight are associated with type 2 diabetes mellitus, cardiovascular disease, hypertension, and an increased risk of chronic respiratory diseases.3 Impaired stamina is a wellrecognized feature post-ABI, with disordered appetite and inadequate nutrition compounding this effect. 4 Children with ABI face greater risk of developing obesity than the general population.2 In one study investigating adverse effects in survivors following childhood low grade glioma, cumulative incidence of being overweight (body mass index [BMI] <30 but ≥25) or obese (BMI ≥30) at 5, 10, and 15 years was 18%, 35%, and 53% respectively. 5 Similarly, weight gain in children during the first year following TBI was demonstrated to be 'rapid and excessive', with males being at a higher risk of excessive weight gain than females. 6 The majority of studies investigating the impact of childhood cancer on weight focus on advanced lymphoma and leukaemia. There is a paucity of research concerning weight change in relation to paediatric brain tumours. 7This is of particular concern, because the presence of 'undernutrition' in paediatric patients with brain tumours has been associated with poorer outcomes, with underweight and undernourished children being more likely to abandon therapy and experience lower rates of event-free survival than adequately nourished children. 8While there are National Institute for Health and Care Excellence (NICE) guidelines for lifestyle weight management and services for young people who are overwei...

show abstract

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Surgical Interventions For Overweight and Obese Childrenmentioning

confidence: 99%

“…Nineteen different interventions were used in the retrieved studies in total. Specified diagnoses were: craniopharyngioma (n=564, 74%), [13][14][15][16][17][18][19][20][21][22][23][24][25][26][27][28][29][30][31][32] 42 and glioma (n=1, 0.1%). 26 In 11 cases (1%), patients could not be disaggregated from the sample by diagnosis.…”

mentioning

confidence: 99%

See 3 more Smart Citations