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Laparoscopic gastric plication in morbidly obese adolescents: a prospective study.
Surg Obes Relat Dis. 2014 Nov-Dec; 10(6):1135-9.SO

Abstract

BACKGROUND

The prevalence of obesity has increased rapidly among adolescents. Bariatric surgery is associated with significant weight loss and improvement in obesity related co-morbidities, but may be associated with serious complications. Therefore, attempts on finding a safe and effective bariatric procedure for adolescents are ongoing. The objective of this study was to evaluate safety and efficacy of laparoscopic gastric plication (LGP) on adolescents.

METHOD

A prospective study was performed on adolescents who underwent LGP from 2007-2013. Measured parameters included the percentage of excess weight (%EWL), percentage of body mass index loss (%BMIL), obesity related co-morbidities, operative time, and length of hospitalization and complications.

RESULTS

LGP was performed in 12 adolescents (9 female and 3 male). Mean (SD) age of the patients was 13.8±1 year. Mean preoperative weight and BMI were 112.4±19.7 kg and 46.0±4 kg/m(2), respectively. Mean (SD) %EWL and %EBMIL were 68.2±9.9% and 79.0±9.0%, respectively after 2 years. All medical co-morbidities were improved after LGP. There were no deaths. One patient required replication 4 days postoperatively due to obstruction at the site of the last knot. No other major complications were observed. No patient required rehospitalization.

CONCLUSION

LGP has the potential of being an ideal weight loss surgery for adolescents, resulting in excellent weight loss and minimal psychological disruption. It is associated with a minimal risk of leakage, bleeding, and nutritional deficiency. However, large well-designed studies with long-term follow-up are needed.

Authors+Show Affiliations

Laparoscopic Ward, Sina Hospital, Tehran University of Medical Sciences, Tehran, Iran.Laparoscopic Ward, Sina Hospital, Tehran University of Medical Sciences, Tehran, Iran.Laparoscopic Ward, Sina Hospital, Tehran University of Medical Sciences, Tehran, Iran. Electronic address: mtaleb7155@gmail.com.

Pub Type(s)

Evaluation Study
Journal Article

Language

eng

PubMed ID

24958648

Citation

Zeinoddini, Atefeh, et al. "Laparoscopic Gastric Plication in Morbidly Obese Adolescents: a Prospective Study." Surgery for Obesity and Related Diseases : Official Journal of the American Society for Bariatric Surgery, vol. 10, no. 6, 2014, pp. 1135-9.
Zeinoddini A, Heidari R, Talebpour M. Laparoscopic gastric plication in morbidly obese adolescents: a prospective study. Surg Obes Relat Dis. 2014;10(6):1135-9.
Zeinoddini, A., Heidari, R., & Talebpour, M. (2014). Laparoscopic gastric plication in morbidly obese adolescents: a prospective study. Surgery for Obesity and Related Diseases : Official Journal of the American Society for Bariatric Surgery, 10(6), 1135-9. https://doi.org/10.1016/j.soard.2014.02.039
Zeinoddini A, Heidari R, Talebpour M. Laparoscopic Gastric Plication in Morbidly Obese Adolescents: a Prospective Study. Surg Obes Relat Dis. 2014 Nov-Dec;10(6):1135-9. PubMed PMID: 24958648.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Laparoscopic gastric plication in morbidly obese adolescents: a prospective study. AU - Zeinoddini,Atefeh, AU - Heidari,Reza, AU - Talebpour,Mohammad, Y1 - 2014/03/12/ PY - 2013/10/18/received PY - 2014/02/11/revised PY - 2014/02/24/accepted PY - 2014/6/25/entrez PY - 2014/6/25/pubmed PY - 2015/9/10/medline KW - Adolescent KW - Gastric placation KW - Laparoscopy KW - Morbid obesity SP - 1135 EP - 9 JF - Surgery for obesity and related diseases : official journal of the American Society for Bariatric Surgery JO - Surg Obes Relat Dis VL - 10 IS - 6 N2 - BACKGROUND: The prevalence of obesity has increased rapidly among adolescents. Bariatric surgery is associated with significant weight loss and improvement in obesity related co-morbidities, but may be associated with serious complications. Therefore, attempts on finding a safe and effective bariatric procedure for adolescents are ongoing. The objective of this study was to evaluate safety and efficacy of laparoscopic gastric plication (LGP) on adolescents. METHOD: A prospective study was performed on adolescents who underwent LGP from 2007-2013. Measured parameters included the percentage of excess weight (%EWL), percentage of body mass index loss (%BMIL), obesity related co-morbidities, operative time, and length of hospitalization and complications. RESULTS: LGP was performed in 12 adolescents (9 female and 3 male). Mean (SD) age of the patients was 13.8±1 year. Mean preoperative weight and BMI were 112.4±19.7 kg and 46.0±4 kg/m(2), respectively. Mean (SD) %EWL and %EBMIL were 68.2±9.9% and 79.0±9.0%, respectively after 2 years. All medical co-morbidities were improved after LGP. There were no deaths. One patient required replication 4 days postoperatively due to obstruction at the site of the last knot. No other major complications were observed. No patient required rehospitalization. CONCLUSION: LGP has the potential of being an ideal weight loss surgery for adolescents, resulting in excellent weight loss and minimal psychological disruption. It is associated with a minimal risk of leakage, bleeding, and nutritional deficiency. However, large well-designed studies with long-term follow-up are needed. SN - 1878-7533 UR - https://www.unboundmedicine.com/medline/citation/24958648/Laparoscopic_gastric_plication_in_morbidly_obese_adolescents:_a_prospective_study_ L2 - https://linkinghub.elsevier.com/retrieve/pii/S1550-7289(14)00107-5 DB - PRIME DP - Unbound Medicine ER -