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Obesity Surgery

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01-05-2015 | New Concept

Pediatric Bariatric Surgery: The Clinical Pathway

Authors: Aayed R. Alqahtani, Mohamed O. Elahmedi

Published in: Obesity Surgery | Issue 5/2015

Abstract

Purpose

Despite the rising interest in bariatric surgery (BS) for children and adolescents, algorithms that incorporate BS in weight management (WM) programs are lacking. This study presents the results of the pediatric bariatric surgery clinical pathway employed in our institution.

Materials and Methods

Starting March 2008, we enrolled obese children and adolescents in a standardized multidisciplinary obesity management program. Weight loss, complications, comorbidities, and growth results of those who eventually underwent BS were compared with a matched (age, gender, and height z-score) group of patients on non-surgical WM only.

Results

Up to July 2014, a total of 659 patients received care through the pathway, of whom 291 patients underwent laparoscopic sleeve gastrectomy (LSG). Mean age and pre-LSG body mass index (BMI) were 14.4 ± 4.0 years (range; 5 to 21 years) and 48.3 ± 10.0 (range; 31.8–109.6). Mean BMI change (% excess weight loss) at 1, 2, 3, and 4 postoperative years was −16.9 ± 4.9 (56.6 ± 22.6), −17.5 ± 5.2 (69.8 ± 22.5), −18.9 ± 4.3 (75.1 ± 26.8), and −19.6 ± 6.4 (73.6 ± 24.3), respectively. Postoperatively, complications occurred in 12 patients (4.1 %), with no leaks or mortality, and more than 90 % of comorbidities were resolved or improved without recurrence. Additionally, LSG patients exhibited significantly higher postoperative growth velocity compared to WM patients.

Conclusions

Applying this standardized clinical pathway with its BS component results in safe and successful weight loss for pediatric patients, with low complication rates, maximum comorbidity resolution, and minimum morbidity.

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Title: Pediatric Bariatric Surgery: The Clinical Pathway
Authors: Aayed R. Alqahtani
Mohamed O. Elahmedi
Publication date: 01-05-2015
Publisher: Springer US
Published in: Obesity Surgery / Issue 5/2015
Print ISSN: 0960-8923
Electronic ISSN: 1708-0428
DOI: https://doi.org/10.1007/s11695-015-1586-x

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Pediatric Bariatric Surgery: The Clinical Pathway

Abstract

Purpose

Materials and Methods

Results

Conclusions

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Abstract

Purpose

Materials and Methods

Results

Conclusions

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