Laparoscopic sleeve gastrectomy for morbidly obese adolescents in Singapore.

Dallan Dargan; Dmitrii Dolgunov; Khin Thida Soe; Pamela ER; Fathimath Naseer; Davide Lomanto; Jimmy By SO; Asim Shabbir

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Laparoscopic sleeve gastrectomy for morbidly obese adolescents in Singapore.

Author: Dallan DARGAN ¹ ; Dmitrii DOLGUNOV ¹ ; Khin Thida SOE ² ; Pamela ER ³ ; Fathimath NASEER ³ ; Davide LOMANTO ¹ ; Jimmy By SO ¹ ; Asim SHABBIR ¹
Author Information

1. Department of Surgery, National University Hospital, Singapore.
2. Yong Loo Lin School of Medicine, National University of Singapore, Singapore.
3. Department of Dietetics, National University Hospital, Singapore.
Publication Type:Journal Article
Keywords: adolescent obesity; body mass index; excess weight loss; laparoscopic sleeve gastrectomy; metabolic surgery
MeSH: Adolescent; Anthropometry; Asian Continental Ancestry Group; Bariatric Surgery; methods; Blood Pressure; Body Composition; Body Mass Index; Comorbidity; Female; Follow-Up Studies; Gastrectomy; methods; Humans; Laparoscopy; methods; Life Style; Male; Obesity, Morbid; surgery; Pediatric Obesity; surgery; Prospective Studies; Retrospective Studies; Singapore; Surveys and Questionnaires; Weight Loss; Young Adult
From:Singapore medical journal 2018;59(1):98-103
CountrySingapore
Language:English
Abstract: INTRODUCTION:Laparoscopic sleeve gastrectomy (LSG) outcomes among adolescents and factors associated with adolescent obesity in Singapore were evaluated.
METHODS:Prospectively collected data of patients aged 16-19 years who underwent LSG was retrospectively reviewed. A lifestyle questionnaire, Berlin and Epworth scores, and Patient Health Questionnaire-9 scores were collected. Preoperative anthropometrics, comorbidities, weight loss and body composition outcomes were recorded.
RESULTS:Among 208 LSGs, 13 (6.3%) were performed on obese adolescents. Mean age and body mass index (BMI) at first presentation were 19.1 ± 0.9 (range 16.8-19.8) years and 46.2 ± 6.3 (range 36-57) kg/m, respectively. There was family history of obesity (n = 7) and regular consumption of high-calorie drinks (n = 12). Most patients had comorbidities (n = 12), including hypertension (n = 5), asthma (n = 4), diabetes mellitus (n = 3), hernia (n = 3) and obstructive sleep apnoea requiring continuous positive airway pressure support (n = 3). At one year, excess weight loss was 64.3% ± 34.7% (range 21.8%-101.5%), while BMI and fat mass dropped to 31.2 ± 7.6 (range 23-40) kg/m and 17.4 kg, respectively. Pain score was 2/10 at 24 hours after surgery. Mean postoperative stay was 2.7 days. No complications or readmissions occurred. Remission of diabetes mellitus and hypertension was reported in two of three and four of five adolescents, respectively, within one year of surgery.
CONCLUSION:LSG is a safe option for adolescents with good short-term weight loss outcomes and remission of metabolic comorbid conditions.