Skip to main content
Log in

The Efficacy of Laparoscopic Sleeve Gastrectomy in Treating Adolescent Obesity

  • Original Contributions
  • Published:
Obesity Surgery Aims and scope Submit manuscript

Abstract

Background

Laparoscopic sleeve gastrectomy (SG) is becoming a popular and preferred primary bariatric intervention; however, its applicability in the adolescent age group remains controversial. The aim of this study is to evaluate the efficacy of SG in treating obesity and its co-morbidities among adolescents.

Methods

A retrospective study was conducted of patients aged 12–21 who underwent SG from 2008 to 2012 at Amiri Hospital, Kuwait. The major outcome measures were percent excess weight loss (%EWL) over a 2-year follow-up period, resolution of co-morbidities, and occurrence of complications.

Results

A total of 135 adolescent patients underwent the procedure, of which, 97 (71.9 %) were females. The patients had a median age of 19 years (range 12–21), mean body mass index of 48.5 kg/m2, and mean follow-up period of 20 ± 11.4 months. The %EWL at 2 years for males and females was 84 and 77 %, respectively. All of the patients with type 2 diabetes mellitus and 75 % of those with hypertension showed complete resolution of the disease at 2 years.

Conclusion

SG seems to be an effective and safe bariatric procedure in obese adolescents, as it can significantly decrease excess body weight and reduce co-morbidities in a relatively short period of time.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Fig. 1
Fig. 2

Similar content being viewed by others

References

  1. Ogden CL, Carroll MD, Kit BK, et al. Prevalence of obesity and trends in body mass index among US children and adolescents, 1999-2010. JAMA. 2012;307(5):483–90.

    Article  PubMed  Google Scholar 

  2. Reilly J, Kelly J. Long-term impact of overweight and obesity in childhood and adolescence on morbidity and premature mortality in adulthood: systematic review. Int J Obes. 2005;35:891–8.

    Article  Google Scholar 

  3. Aldaqal S, Sehlo M. Self-esteem and quality of life in adolescents with extreme obesity in Saudi Arabia: the effect of weight loss after laparoscopic sleeve gastrectomy. Gen Hosp Psychiatry. 2013;35(3):259–64.

    Article  PubMed  Google Scholar 

  4. Nadler E, Barefoot L, Qureshi F. Early results after laparoscopic sleeve gastrectomy in adolescents with morbid obesity. Surg. 2012;152(2):212–7.

    Article  Google Scholar 

  5. Alqahtani A, Antonisamy B, Alamri H, et al. Laparoscopic sleeve gastrectomy in 108 obese children and adolescents aged 5 to 21 years. Ann Surg. 2012;256(2):266–73.

    Article  PubMed  Google Scholar 

  6. Boza C, Viscido G, Salinas J, et al. Laparoscopic sleeve gastrectomy in obese adolescents: results in 51 patients. Surg Obes Relat Dis. 2012;8(2):133–7.

    Article  PubMed  Google Scholar 

  7. Padwal R. Characteristics of patients undergoing bariatric surgery in Canada. Obes Res. 2005;13(12):2052–4.

    Article  PubMed  Google Scholar 

  8. NIH conference. Gastrointestinal surgery for severe obesity. Consensus Development Conference Panel. Ann Intern Med. 1991;115(12):956–61.

    Article  Google Scholar 

  9. Nguyen N, Karipineni F, Masoomi H, et al. Increasing utilization of laparoscopic gastric banding in the adolescent: data from academic medical centers, 2002-2009. Am Surg. 2011;77(11):1510–4.

    PubMed  Google Scholar 

  10. Mohaidly M, Suliman A, Malawi H. Laparoscopic sleeve gastrectomy for a two-and half year old morbidly obese child. Int J Surg Case Rep. 2013;4(11):1057–60.

    Article  PubMed Central  PubMed  Google Scholar 

  11. Carlin A, Yager K, Rao D. Vitamin D depletion impairs hypertension resolution after Roux-en-Y gastric bypass. Am J Surg. 2008;195(3):349–52.

    Article  CAS  PubMed  Google Scholar 

  12. Treadwell J, Sun F, Schoelles K. Systematic review and meta-analysis of bariatric surgery for pediatric obesity. Ann Surg. 2008;248(5):763–76.

    Article  PubMed  Google Scholar 

Download references

Conflict of Interest

All the authors declare no conflict of interest in this study.

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Sulaiman M. Almazeedi.

Rights and permissions

Reprints and permissions

About this article

Check for updates. Verify currency and authenticity via CrossMark

Cite this article

Al-Sabah, S.K., Almazeedi, S.M., Dashti, S.A. et al. The Efficacy of Laparoscopic Sleeve Gastrectomy in Treating Adolescent Obesity. OBES SURG 25, 50–54 (2015). https://doi.org/10.1007/s11695-014-1340-9

Download citation

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s11695-014-1340-9

Keywords

Navigation