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Five-year Outcomes of Laparoscopic Sleeve Gastrectomy: a Comparison Between Adults and Adolescents

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Abstract

Background

Bariatric surgery in adolescents is still under debate. Literature about the long-term impact of laparoscopic sleeve gastrectomy (LSG) on adolescents’ obesity and associated morbidities is scarce. It is unknown if LSG shows better long-term results in the adolescent or adult group.

Aim

To compare the long-term effectiveness of LSG on obesity and associated comorbidities between adolescents and adults.

Methods

This retrospective study analyzed all patients with morbid obesity who underwent LSG in (2011–2012) and were followed for up to 5 years. Patients were divided into two groups: adolescents and adults. Data were compared between the two groups.

Results

LSG was performed in 139 adults and 91 adolescents. The mean ages of the adults and adolescents were 37.4 ± 11.4 and 17 ± 1.5 years, respectively. The preoperative body mass index values of the adults and adolescents were 48.4 ± 8.7 and 47.6 ± 7.5 kg/m2, respectively (P = 0.95). At 5 years, percentage of total weight loss increased in adolescents (to 35.8 ± 11.5%), while it remained almost the same in adults (26.3 ± 10%). At 1 year, about 68.2% of adults and 62.5% of adolescents were cured from diabetes though, 13% of diabetic adults had relapse at 5 years and none of the adolescents relapsed. Postoperative complications occurred in both groups.

Conclusion

LSG showed comparable weight loss results in adults and adolescents, with better results in adolescents. LSG is more effective in preventing and treating diabetes/prediabetes in the adolescent group.

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Acknowledgments

We thank our colleague Mr. Arnel Alviz (system analyst, Hamad Medical Corporation-Qatar) who offered great help with the data collection and statistical analysis. We would also like to show our gratitude to Professor Michel Gagner, as he operated on most of the study population. We acknowledge doctors Helmuth Billy (Director of Bariatric and Metabolic Surgery St Johns Regional Medical Center, Oxnard, California US), Peter Goh (Professor of Surgery at Monash University, Sunway Campus), and Alan Saber (Clinical professor of Surgery-Icahn School Of Medicine at Mount Sinai, US) for their contribution as visiting operating surgeons of some cases.

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Authors and Affiliations

  1. Department of Bariatric and Metabolic Surgery, Hamad Medical Corporation, Doha, Qatar

    Nesreen Khidir, Davit Sargsyan, Mohammed Al-Kuwari & Moataz Bashah

  2. Department of General Surgery, Hamad Medical Corporation, Doha, Qatar

    Moamena Ahmed El-Matbouly

  3. Weill Cornell Medical college, Doha, Qatar

    Moataz Bashah

  4. Department of Surgery, Hopital du Sacre Coeur, Montreal, Canada

    Michel Gagner

Authors
  1. Nesreen Khidir
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  2. Moamena Ahmed El-Matbouly
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  3. Davit Sargsyan
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  4. Mohammed Al-Kuwari
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  5. Moataz Bashah
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  6. Michel Gagner
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Corresponding author

Correspondence to Nesreen Khidir.

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The authors declare that they have no conflict of interest.

Ethical Approval

The current study was conducted after the research protocol was approved by the institutional review board of the Medical Research Centre at Hamad Medical Corporation. For this type of study, formal consent is not required.

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Khidir, N., El-Matbouly, M.A., Sargsyan, D. et al. Five-year Outcomes of Laparoscopic Sleeve Gastrectomy: a Comparison Between Adults and Adolescents. OBES SURG 28, 2040–2045 (2018). https://doi.org/10.1007/s11695-018-3139-6

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  • DOI: https://doi.org/10.1007/s11695-018-3139-6

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