Thirty ‐day outcomes for children and adolescents undergoing laparoscopic sleeve gastrectomy at a free‐standing children's hospital

Summary The obesity epidemic continues to affect millions of children and adolescents. Non‐surgical options do not result in significant or sustained weight loss; thus bariatric surgery has become increasingly utilized. Limited data exist regarding safety for paediatric bariatric surgery, especially outside of National Institutes of Health (NIH)‐funded centres. We hypothesized that the perioperative outcomes of paediatric patients undergoing laparoscopic sleeve gastrectomy (LSG) at our free‐standing children's hospital would provide adequate safety profiles. We retrospectively reviewed demographics, comorbidities and 30‐d outcomes for all patients who underwent LSG from 2010 to 2015 at a free‐standing children's hospital. A total of 105 patients underwent 107 LSG procedures (two revisions). Mean age was 17.2 ± 2.4 years. Male to female ratio was 1:4. The majority were Black (57.1%), followed by White (21.0%) and Hispanic (18.1%). The mean body mass index was 51.0 ± 9.8 kg/m2. Comorbidities included obstructive sleep apnea (59.0%), hypertension (15.2%), polycystic ovarian disease (16.7% of females only), depression (12.4%) and diabetes (11.4%). Median length of stay was 2.0 d (1–7 d). There were no deaths. Major complications occurred in four patients (3.8%); three required reoperation. Four patients (3.8%) experienced minor complications. Laparoscopic sleeve gastrectomy can be safely performed for children and adolescents at a free‐standing child...
Source: Clinical Obesity - Category: Eating Disorders and Weight Management Authors: Tags: Original Article Source Type: research