Laparoscopic sleeve gastrectomy for morbidly obese adolescents in Singapore

Dargan, Dallan; Dolgunov, Dmitrii; Soe, Khin T.; Er, Pamela; Naseer, Fathimath; Lomanto, Davide; So, Jimmy By; Shabbir, Asim

doi:10.11622/smedj.2017086

Cited by 11 publications

(23 citation statements)

References 38 publications

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“…In our study, mean weight 1 year post-LSG was 78.56 kg which is lower than mean weight of Aridi et al [9] 80.3 kg and Dallan Dargan et al [10] 94.1 kg. While, mean weight after 2 years was 79.44 kg in our study and 81.8 kg in Aridi et al [9].…”

Section: Discussioncontrasting

confidence: 75%

“…Mean EWL% was 74.08% and 72.52% 1 and 2 years' post-LSG which is only lower than Aridi et al [9] (90.1% and 89.9%), while higher than other literature including Alqahtani et al [7] (61.3% and 62.3%), Franco et al [11] (60% and 45%), Dargan et al [10] (64% and 56.2%), and Park et al [8] (67.6% after 1 year). We succeeded to maintain EWL% above the expected value (50-70%) according to Reinhold criteria 2 years' post-LSG by sticking to close follow-up with continuous nutritional and exercise support for all our teens [12,13].…”

Section: Discussioncontrasting

confidence: 50%

“…While, mean weight after 2 years was 79.44 kg in our study and 81.8 kg in Aridi et al [9]. We succeeded to have mean EWL of 54.11 kg after one year post LSG which is higher than all the literature, Alqahtani et al [7] 42.7 kg, Franco et al [11] 34.5 kg and Dargan et al [10] 39.1 kg. Although after 2 years, we demonstrated non-significant weight regain with mean EWL was 51.19 kg, EWL is still higher than all the literature.…”

Section: Discussioncontrasting

confidence: 43%

“…Although after 2 years, we demonstrated non-significant weight regain with mean EWL was 51.19 kg, EWL is still higher than all the literature. In Alqahtani et al [7], Franco et al [11] and Dargan et al [10], EWL were 39.5 kg, 25.8 kg and 34.1 kg, respectively.…”

Section: Discussionmentioning

confidence: 90%

“…In our study, mean 1 year postoperative BMI was 29.01 kg/m 2 which is slightly higher than Aridi et al [9] (28.4 kg/m 2 ). However, Alqahtani et al [7] and Dargan et al [10] showed higher mean BMI after one year 32.4 and 31.2 kg/m 2 , respectively. Similarly, mean BMI 2 years post-LSG was 29.8 kg/m 2 which is still slightly higher than Aridi et al [9] (28.5 kg/m 2 ) but lower than all others as Alqahtani et al [7] (31.8 kg/m 2 ), Dargan et al [10] (35.4 kg/m 2 ) and Franco et al [11] (38.4 kg/m 2 ).…”

Section: Discussionmentioning

confidence: 91%

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Effect of laparoscopic sleeve gastrectomy on metabolic syndrome in adolescent obesity

et al. 2020

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Background Metabolic syndrome (MeS) is a group of physiological, biochemical, clinical, and metabolic factors which increase the incidence of atherosclerosis, type 2 diabetes mellitus, and early mortality. Overall prevalence of MeS is around 3.3%, 11.9% in overweight, 29.2% in obese, and less than 1% in non-obese children. Nearly, 90% of obese children and adolescents have at least one parameter of MeS. Objective Clinical and metabolic evaluation of obese adolescents before and after laparoscopic sleeve gastrectomy (LSG). Subjects and methods Prospective study included analysis of data from 35 adolescents (12-19 years) with body mass index (BMI) above 99th percentile for age and sex. All of them had metabolic syndrome and were submitted to LSG between 2015 and 2017. Anthropometric measurements, clinical and laboratory assessment were performed, preoperatively, 6, 12, and 24 months postoperatively. Results Mean age was 16.43 years and mean preoperative weight and BMI were 132.68 kg and 48.90, respectively. Mean excess weight loss (EWL) was 54.11 kg after 12 months' and 51.19 kg after 24-months post-LSG, corresponding to 74 and 73 EWL%, respectively, as well as mean BMI loss (BML) of 19.89 and 18.7 kg/m 2. LSG improved fatty infiltration of liver in 93% of cases and other comorbidities in 100% of patients. Conclusions Laparoscopic sleeve gastrectomy (LSG) proved as a safe and effective procedure for adolescent obesity and its related metabolic morbidities.

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Section: Discussioncontrasting

confidence: 75%

Section: Discussioncontrasting

confidence: 50%

Section: Discussioncontrasting

confidence: 43%

Section: Discussionmentioning

confidence: 90%

Section: Discussionmentioning

confidence: 91%

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Effect of laparoscopic sleeve gastrectomy on metabolic syndrome in adolescent obesity

et al. 2020

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Body Composition Changes in Adolescents Who Underwent Bariatric Surgery: A Systematic Review and Meta-analysis

Bezerra,

Boppre,

Freitas

et al. 2024

Curr Obes Rep

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Purpose of Review The purpose of this review and meta-analysis is to characterize the changes in body composition of children and adolescents who underwent bariatric surgery and identify possible negative effects of performing this procedure during pediatric ages. Recent Findings Bariatric surgery in children and adolescents is an emerging strategy to promote higher and faster body weight and fat mass losses. However, possible negative effects usually observed in surgical patients’ muscle-skeletal system raise a major concern perform this intervention during growth. Despite these possible issues, most experimental studies and reviews analyze bariatric surgery’s effectiveness only by assessing anthropometric outcomes such as body weight and BMI, disregarding the short- and long-term impact of bariatric surgery on all body composition outcomes. Summary Bariatric surgery is effective to reduce fat mass in adolescents, as well as body weight, waist circumference, and BMI. Significant reduction in lean mass and fat-free mass is also observed. Bone mass seems not to be impaired. All outcomes reduction were observed only in the first 12 months after surgery. Sensitivity analysis suggests possible sex and type of surgery-related differences, favoring a higher fat mass, body weight, and BMI losses in boys and in patients who underwent RYGB.

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Laparoscopic sleeve gastrectomy in morbidly obese adolescents: Initial experience of a Pediatric Multidisciplinary Unit

Tuna

Espinheira

Vasconcelos

et al. 2020

Archives de Pédiatrie

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Laparoscopic sleeve gastrectomy for morbidly obese adolescents in Singapore

Abstract: LSG is a safe option for adolescents with good short-term weight loss outcomes and remission of metabolic comorbid conditions.

Cited by 11 publications

References 38 publications

Effect of laparoscopic sleeve gastrectomy on metabolic syndrome in adolescent obesity

Effect of laparoscopic sleeve gastrectomy on metabolic syndrome in adolescent obesity

Body Composition Changes in Adolescents Who Underwent Bariatric Surgery: A Systematic Review and Meta-analysis

Laparoscopic sleeve gastrectomy in morbidly obese adolescents: Initial experience of a Pediatric Multidisciplinary Unit

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