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. 2018 Feb;59(1):98-103.
doi: 10.11622/smedj.2017086. Epub 2017 Oct 6.

Laparoscopic sleeve gastrectomy for morbidly obese adolescents in Singapore

Dallan Dargan  1 , Dmitrii Dolgunov  1 , Khin Thida Soe  2 , Pamela Er  3 , Fathimath Naseer  3 , Davide Lomanto  1   2 , Jimmy By So  1   2 , Asim Shabbir  1   2
Affiliations

Laparoscopic sleeve gastrectomy for morbidly obese adolescents in Singapore

Dallan Dargan et al. Singapore Med J. 2018 Feb.

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/m2, 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/m2 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.

Keywords: adolescent obesity; body mass index; excess weight loss; laparoscopic sleeve gastrectomy; metabolic surgery.

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Figures

Fig. 1
Fig. 1
Mean absolute weight loss of obese adolescents after surgery. M: month; SD: standard deviation; WK: week; YR: year
Fig. 2
Fig. 2
Mean percentage excess weight loss of obese adolescents after surgery. M: month; SD: standard deviation; WK: week; YR: year
Fig. 3
Fig. 3
Mean body mass index (BMI) of obese adolescents before and after surgery. M: month; preop: preoperative; SD: standard deviation; WK: week; YR: year
See this image and copyright information in PMC

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