Pediatric patients have had good results for 10 years after gastric sleeve weight loss

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The results of a 10-year study of children and adolescents who underwent general weight loss surgery to treat severe obesity show that they can safely have long-term significant weight loss and obesity-related medical problems without impeding height growth . Indicates that there is an improvement in . Studies, including the longest known follow-up of pediatric patients after laparoscopic sleeve gastrectomy, have been published online. Journal of American Universities of Surgeons For printing.

According to the authors of the Saudi Arabian study who conducted the study, there was insufficient information about the outcome of this weight-loss surgery in children and adolescents over the age of five. Sleeve gastrectomy, also known as gastric sleeve surgery, is more popular than gastric bypass surgery because of its low complications.

During this surgery, the surgeon splits and removes part of the stomach, leaving the remaining staples to create a “sleeve” in the shape of a banana-sized stomach. This small tubular new stomach allows patients to eat less and lose weight. It is also effective because the surgeon removes the part of the stomach that contains the “hungry” hormone that stimulates appetite.

“Lack of long-term data and fear of some pediatricians Weight Loss Surgery It May Affect Children’s Linear Growth And May Lead To Global Resistance To Performing Weight Loss Procedures For Children Under 14 Or 15 Years Old” New In Riyadh, Saudi Arabia. University and CEO of U-Medical Center.

Their long-term study found that patients lost an average of nearly 30% of their total body weight, with extensive reversal of risk factors for type 2 diabetes and serious heart disease, and procedure-related deaths and serious complications. Showed that there is none, Dr Alqahtani reported. ..

“Our findings provide clear evidence that hesitation in performing weight loss surgery in children and adolescents who may benefit from surgery should be removed,” he said. “We have a proven solution for severe obesity and its co-morbidities. [related diseases]..”

Largest pediatric sleeve gastrectomy study

The study is the largest ever in this age group, with more than 2,500 participants ages 5 to 21, Dr. Alqahtani. Nearly a third at the time of surgery were under 15, he said, younger than many studies in the United States.

All patients were severely obese. This is at least 120 percent of the 95th percentile by age and gender on the U.S. Centers for Disease Control and Prevention growth chart.

Despite a 6-month weight loss program that reportedly included diet and behavioral therapy, patients were reportedly unable to lose any substantial weight.

Between 2008 and 2021, the patient underwent a sleeve gastrectomy. Before surgery, about 1 in 10 patients had type 2 diabetes or abnormal lipids (triglycerides). Hypertension was even more common in 15% of these young patients. Obesity, which affects 18.5% of young people in the United States, not only increases the risk of these serious medical conditions, but also fatty liver, sleep apnea, depression, etc.

Long-term weight loss and improved health

Pediatric patients continued to show good results 7-10 years after surgery.

They maintained an average loss of 71 percent extra weight. Type 2 diabetes resolved in more than 7 out of 10 affected patients. Lipids and blood pressure became normal in more than 57% of patients who had previously abnormal lipids. High blood pressure, both risk factors for heart disease.

Because many of their patients have not yet reached full adult height, researchers have been able to compare the growth rates (height growth rates) between young and older pediatric patients. They found that growth rate was not affected and there was no difference between patients younger than 14 and patients older than 14.

Results in line with current guidelines

Their findings are consistent with current scientific evidence recommending early surgical intervention, said Dr. Arcatani. The latest guidelines from the American Academy of Pediatrics and the American Academy of Metabolism and Weight Loss Surgery do not recommend waiting until a child is an adult when surgery is recommended based on weight and obesity-related diseases.

“Early surgical interventions can cure obesity-related diseases in children early and improve their quality of life. Over time, their diseases can become irreversible.” said Dr Alkatani.

dr. Alkatani attributed their good results to factors such as:

Surgeons used the differences in the stomach sleeves they made. He believes this has reduced the chances of weight recovery. Patients had permanent access to aftercare and telephone contact with the surgical and medical team. The patient’s family helped ensure that the child adhered to the postoperative surgical recommendations.

Another strong point of this study, according to Dr. Alqahtani, is that the patient population showed a more gender-based distribution than previous studies. Girls undergo weight loss surgery more often than boys, but male patients accounted for 45% of the sample.

Weight loss surgery is a safe option for obese children

For more information:
Aayed R. Alqahtani et al, 10-year outcome of children and adolescents undergoing sleeve gastrectomy: weight loss, elimination of comorbidities, side effects and growth rate, Journal of American Universities of Surgeons (2021). DOI: 10.1016/j.jamcollsurg.2021.08.678

Supplied by
American College of Surgeons

Quote: Pediatric Patients, Gastric Reduction Procedure obtained Sept 23, 2021 from https://medicalxpress.com/news/2021-09-pediatric-patients-good-year-results (September 23, 2021) ) Has been good for 10 years. html

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Pediatric patients have achieved good results for 10 years after gastric sleeve weight loss

Bronlink Pediatric patients have achieved good results for 10 years after losing the gastric sleeve

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