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Published in: Obesity Surgery 1/2010

01-01-2010 | Invited Commentary

Sleeve Gastrectomy for Childhood Morbid Obesity: Why Not?

Authors: Thomas H. Inge, Stavra Xanthakos

Published in: Obesity Surgery | Issue 1/2010

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Excerpt

In this issue, Dan and colleagues describe use of vertical sleeve gastrectomy (VSG) for treatment of a 6-year-old girl with morbid obesity, Blount’s disease, and social stigmatization. The report suggests that caregivers lacked understanding of basic energy balance concepts and were complacent with cultural norms encouraging overfeeding. Once the child’s problems came to medical attention, nutritional education and dietary intervention were attempted but were reportedly unsuccessful. According to these authors, the healthcare team was satisfied that all available treatment options had been attempted and failed, and surgery was deemed the only option and was medically necessary. …
Literature
1.
go back to reference Inge TH, et al. Bariatric surgery for severely overweight adolescents: Concerns and recommendations. Pediatrics. 2004;114(1):217–23.CrossRefPubMed Inge TH, et al. Bariatric surgery for severely overweight adolescents: Concerns and recommendations. Pediatrics. 2004;114(1):217–23.CrossRefPubMed
2.
go back to reference Alexandrides TK, Skroubis G, Kalfarentzos F. Resolution of diabetes mellitus and metabolic syndrome following Roux-en-Y gastric bypass and a variant of biliopancreatic diversion in patients with morbid obesity. Obes Surg. 2007;17(2):176–84.CrossRefPubMed Alexandrides TK, Skroubis G, Kalfarentzos F. Resolution of diabetes mellitus and metabolic syndrome following Roux-en-Y gastric bypass and a variant of biliopancreatic diversion in patients with morbid obesity. Obes Surg. 2007;17(2):176–84.CrossRefPubMed
3.
go back to reference Peterli R, et al. Improvement in glucose metabolism after bariatric surgery: Comparison of laparoscopic Roux-en-Y gastric bypass and laparoscopic sleeve gastrectomy: A prospective randomized trial. Ann Surg. 2009;250(2):234–41.CrossRefPubMed Peterli R, et al. Improvement in glucose metabolism after bariatric surgery: Comparison of laparoscopic Roux-en-Y gastric bypass and laparoscopic sleeve gastrectomy: A prospective randomized trial. Ann Surg. 2009;250(2):234–41.CrossRefPubMed
4.
go back to reference Kojima M, et al. Ghrelin is a growth-hormone-releasing acylated peptide from stomach. Nature. 1999;402(6762):656–60.CrossRefPubMed Kojima M, et al. Ghrelin is a growth-hormone-releasing acylated peptide from stomach. Nature. 1999;402(6762):656–60.CrossRefPubMed
5.
go back to reference Sun Y, et al. Ghrelin stimulation of growth hormone release and appetite is mediated through the growth hormone secretagogue receptor. Proc Natl Acad Sci U S A. 2004;101(13):4679–84.CrossRefPubMed Sun Y, et al. Ghrelin stimulation of growth hormone release and appetite is mediated through the growth hormone secretagogue receptor. Proc Natl Acad Sci U S A. 2004;101(13):4679–84.CrossRefPubMed
6.
go back to reference Dornonville de la Cour C, et al. Ghrelin treatment reverses the reduction in weight gain and body fat in gastrectomised mice. Gut. 2005;54(7):907–13.CrossRefPubMed Dornonville de la Cour C, et al. Ghrelin treatment reverses the reduction in weight gain and body fat in gastrectomised mice. Gut. 2005;54(7):907–13.CrossRefPubMed
7.
go back to reference Maccarinelli G, et al. Ghrelin regulates proliferation and differentiation of osteoblastic cells. J Endocrinol. 2005;184(1):249–56.CrossRefPubMed Maccarinelli G, et al. Ghrelin regulates proliferation and differentiation of osteoblastic cells. J Endocrinol. 2005;184(1):249–56.CrossRefPubMed
8.
go back to reference Misra M, et al. Ghrelin and bone metabolism in adolescent girls with anorexia nervosa and healthy adolescents. J Clin Endocrinol Metab. 2005;90(9):5082–7.CrossRefPubMed Misra M, et al. Ghrelin and bone metabolism in adolescent girls with anorexia nervosa and healthy adolescents. J Clin Endocrinol Metab. 2005;90(9):5082–7.CrossRefPubMed
9.
go back to reference Pacifico L, et al. Relationships of acylated and des-acyl ghrelin levels to bone mineralization in obese children and adolescents. Bone. 2009;45(2):274–9.CrossRefPubMed Pacifico L, et al. Relationships of acylated and des-acyl ghrelin levels to bone mineralization in obese children and adolescents. Bone. 2009;45(2):274–9.CrossRefPubMed
Metadata
Title
Sleeve Gastrectomy for Childhood Morbid Obesity: Why Not?
Authors
Thomas H. Inge
Stavra Xanthakos
Publication date
01-01-2010
Publisher
Springer-Verlag
Published in
Obesity Surgery / Issue 1/2010
Print ISSN: 0960-8923
Electronic ISSN: 1708-0428
DOI
https://doi.org/10.1007/s11695-009-9997-1

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