Background: Dietary and lifestyle modifications commonly proposed to overweight or obese youth lack efficacy in those with severe obesity. Early results with bariatric procedures in obese adolescents suggest that weight loss and safety are comparable or better than those seen in adults. One of these procedures, laparoscopic sleeve gastrectomy, is commonly performed using multiple ports. We selected single port sleeve gastrectomy (SPSG) as a minimally invasive surgery to be tested in severely obese adolescents.
Methods: Prospective clinical and biochemical data were collected from 16 young severely obese patients who underwent SPSG (mean age 17.5 years, 12 girls, four boys).
Results: Weight averaged 119.2 kg and BMI 43.9 kg/m2. All patients were insulin-resistant, including hypertriglyceridemia in six. Median operating time was 66 min. There were no intraoperative complications. No conversion to open surgery was required. No patient required additional trocars. No patient had postoperative complications. The median hospital stay was 3 days. During a median follow-up of 12.4 months, weight decreased by 41.7 kg, resulting in a decrease of excess weight loss by 59.9%. Insulin-resistance decreased in 16/16 patients and hypertriglyceridemia in 5/6.
Conclusion: SPSG seems safe and effective in the short term in severely obese adolescents.
20 - 22 Sep 2014
European Society for Paediatric Endocrinology