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A 5-Year Follow-Up Study of Laparoscopic Sleeve Gastrectomy Among Morbidly Obese Adolescents: Does It Improve Body Image and Prevent and Treat Diabetes?

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Abstract

Background

Laparoscopic sleeve gastrectomy (LSG) is widely used, and it is important to examine its physiologic and psychological efficacy among adolescents. We assessed LSG’s efficacy for weight loss, its short- and long-term effects on resolving and improving obesity-related comorbidities, and its psychological outcomes among morbidly obese adolescents.

Methods

We retrospectively analyzed the medical records of 91 morbidly obese adolescents in Qatar who underwent LSG (2011–2014), with 1- and 5-year follow-ups.

Results

The mean preoperative weight and body mass index (BMI) were 132.5 ± 25.3 kg and 48 ± 7.5 kg/m2, respectively. Postoperatively, mean weight and BMI decreased to 101 ± 22 kg and 36.4 ± 7.2 kg/m2, respectively. At 1 year, the mean excess weight loss (%EWL), percent total weight loss (%TWL), and percent BMI loss (%BMIL) were 49.48 ± 25.8, 23.1 ± 11.9, and 23.16 ± 11.8%, respectively. At 5 years, %EWL, %TWL, and %BML were 78 ± 12, 35.8 ± 11.5, and 36 ± 12%, respectively. No patients developed postoperative leaks, and three patients had endoscopic dilatation due to stenosis. Overall, 64% of obstructive sleep apnea patients were cured, all prediabetic patients had total remission, and 50% of the diabetic patients were cured. The overall mean HBA1c level was 6 mmol/L, which significantly decreased to 5.1 mmol/L postoperatively (P = 0.0001). At 5 years, there was no relapse of diabetes, and 75% of the diabetic adolescents had complete remission. The only patient with hypertension showed complete resolution with laparoscopic sleeve gastrectomy. Postoperatively, overall body image satisfaction significantly improved (P = 0.0001).

Conclusion

LSG significantly ameliorated short- and long-term obesity-related comorbidities and body image dissatisfaction among Qatari adolescents.

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Acknowledgements

We would like to acknowledge Mr. Arnel Briones Alviz for helping in collecting the data.

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Authors and Affiliations

  1. Department of General Surgery, Hamad Medical Corporation, Doha, Qatar

    Moamena Ahmed El-Matbouly & Hussien Aly Touny

  2. Department of Bariatric Surgery, Hamad Medical Corporation, Doha, Qatar

    Nesreen Khidir, Mohammed Al-Kuwari & Moataz Bashah

  3. Department of Surgery, Hamad Medical Corporation, Doha, Qatar

    Walid El Ansari

Authors
  1. Moamena Ahmed El-Matbouly
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  2. Nesreen Khidir
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  3. Hussien Aly Touny
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Corresponding author

Correspondence to Moamena Ahmed El-Matbouly.

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Ethical Approval

This retrospective cross-sectional study was approved by the Research Ethics Committee at Hamad General Hospital, Doha, Qatar (Protocol Number # 15023/15).

Informed Consent

Informed consent was obtained after explaining the importance of postoperative physical exercises, dietary and behavioral changes, and possible risks and potential complications of the study to each included patient.

Conflict of Interest

The authors declare that they have no conflict of interest.

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El-Matbouly, M.A., Khidir, N., Touny, H.A. et al. A 5-Year Follow-Up Study of Laparoscopic Sleeve Gastrectomy Among Morbidly Obese Adolescents: Does It Improve Body Image and Prevent and Treat Diabetes?. OBES SURG 28, 513–519 (2018). https://doi.org/10.1007/s11695-017-2884-2

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