Guillaume Pourcher1, Gianpaolo De Filippo2, Stefano Ferretti1, Catherine Piquard3, Ibrahim Dagher1, Pierre Bougnères3. 1. Service de Chirurgie Viscérale Mini-Invasive, Assistance Publique - Hôpitaux de Paris, Hôpitaux Universitaires Paris Sud, Hôpital Béclère, Clamart, France. 2. Service d'Endocrinologie et Diabétologie Pédiatrique & Médecine des Adolescents, Assistance Publique - Hôpitaux de Paris, Hôpitaux Universitaires Paris Sud, Hôpital Bicêtre, Le Kremlin-Bicêtre, France. Electronic address: gianpaolo.defilippo@bct.aphp.fr. 3. Service d'Endocrinologie et Diabétologie Pédiatrique & Médecine des Adolescents, Assistance Publique - Hôpitaux de Paris, Hôpitaux Universitaires Paris Sud, Hôpital Bicêtre, Le Kremlin-Bicêtre, France.
Abstract
BACKGROUND: Dietary and lifestyle modifications, which are commonly proposed to overweight or obese youth, lack efficacy in individuals who are severely obese. Early results with bariatric procedures in obese adolescents suggest that weight loss and safety are comparable or better than seen in adults. One of these procedures, laparoscopic sleeve gastrectomy, is commonly performed using multiple ports. METHODS: We selected single-port sleeve gastrectomy (SPSG) as a minimally invasive surgery to be tested in severely obese adolescents. Prospective clinical and biochemical data were collected from 16 young severely obese patients who underwent SPSG. The setting was a university hospital. RESULTS: The mean age of the cohort was 17.8 years (12 girls, 4 boys). The individuals' average weight was 125.5 kg and their average body mass index was 45.3 kg/m(2). All patients were insulin-resistant and 6 showed hypertriglyceridemia. The median operating time was 66 minutes, and there were no intraoperative complications. No conversion to open surgery was required. No patient required additional trocars and no patient had postoperative complications. The median hospital stay was 3 days. After a one-year follow-up, the average weight decrease was 40.3 kg, resulting in a decrease in excess weight loss by 70.61%. Insulin-resistance decreased in 16/16 patients and hypertriglyceridemia decreased in 5/6 patients. CONCLUSION: SPSG seems safe and effective in the short term in severely obese adolescents.
BACKGROUND: Dietary and lifestyle modifications, which are commonly proposed to overweight or obese youth, lack efficacy in individuals who are severely obese. Early results with bariatric procedures in obese adolescents suggest that weight loss and safety are comparable or better than seen in adults. One of these procedures, laparoscopic sleeve gastrectomy, is commonly performed using multiple ports. METHODS: We selected single-port sleeve gastrectomy (SPSG) as a minimally invasive surgery to be tested in severely obese adolescents. Prospective clinical and biochemical data were collected from 16 young severely obesepatients who underwent SPSG. The setting was a university hospital. RESULTS: The mean age of the cohort was 17.8 years (12 girls, 4 boys). The individuals' average weight was 125.5 kg and their average body mass index was 45.3 kg/m(2). All patients were insulin-resistant and 6 showed hypertriglyceridemia. The median operating time was 66 minutes, and there were no intraoperative complications. No conversion to open surgery was required. No patient required additional trocars and no patient had postoperative complications. The median hospital stay was 3 days. After a one-year follow-up, the average weight decrease was 40.3 kg, resulting in a decrease in excess weight loss by 70.61%. Insulin-resistance decreased in 16/16 patients and hypertriglyceridemia decreased in 5/6 patients. CONCLUSION: SPSG seems safe and effective in the short term in severely obese adolescents.
Authors: Seyed Vahid Hosseini; Seyed Ali Hosseini; Ahmed Mohammed Ali Hussein Al-Hurry; Hajar Khazraei; Fatemeh Ganji; Fatemeh Sadeghi Journal: Iran J Med Sci Date: 2017-05