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Impact of Baseline BMI and Adherence to Follow-Up on the Outcome of Sleeve Gastrectomy in Treatment of Adolescent Obesity

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Abstract

Background

Adolescent obesity is considered a public health challenge. Sleeve gastrectomy (SG) may be considered a safe option for treatment of adolescent obesity. This study aimed to assess the outcomes of SG in treatment of severe obesity in adolescents, with emphasis on the impact of baseline body mass index (BMI) and adherence to follow-up.

Methods

This was a single-center retrospective cohort study on adolescents with severe obesity who underwent SG at a tertiary referral bariatric center. The main outcome measures were weight loss, improvement in comorbidities at 12 months postoperatively, and complications.

Results

A total of 72 adolescent patients (47 female) of a mean BMI of 47.9 ± 7.1 kg/푚2 were enrolled in the study. The mean %TWL was 34.94 ± 9.35 and the mean %EWL was 73.47 ± 22.12. Complete remission was recorded in all patients with type 2 diabetes mellitus (DM), pre-DM, and sleep apnea, in 80% of patients with hypertension, and 57% of patients with hypothyroidism. The long-term complication rate after SG was 18%. Patients with higher preoperative BMI had significantly (p = 0.018) lower %EWL at 1 year.

Conclusion

SG is an effective and safe surgical procedure for adolescents with severe obesity. It was associated with a significant weight loss, high comorbidity remission rates, and no mortality or serious complications. Lower baseline BMI and better adherence to follow-up were associated with better outcome of SG.

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Acknowledgments

We would like to express our great appreciation and thanks to the General Surgery team, Operation Theatre staff, and the Surgical Wards’ staff in Al-Qassimi Hospital for their hard work, constant support, and encouragement.

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Authors and Affiliations

  1. Al-Qassimi Hospital, Ministry of Health and Prevention (MOHAP), Sharjah, United Arab Emirates

    Marwan Rasheed Mohammed, Sabah Zaki, Abdulwahid Alwahedi, Hayder Makki & Yaser Asaad

  2. General Surgery Department, Mansoura University Hospitals, Mansoura University, Mansoura, Egypt

    Tarek Mahdy & Sameh Hany Emile

  3. University Hospital Sharjah, Sharjah, United Arab Emirates

    Tarek Mahdy

  4. Division of gastroenterology and Hepatology, Mayo Clinic, 200 1st SW, Rochester, MN, USA

    Anas Hashem

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  1. Marwan Rasheed Mohammed
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Correspondence to Tarek Mahdy.

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All procedures performed in studies involving human participants were in accordance with the ethical standards of the institutional and/or national research committee and with the 1964 Helsinki declaration and its later amendments or comparable ethical standards. Ethical approval for the study was obtained from the Research Ethics Committee.

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Mohammed, M.R., Mahdy, T., Hashem, A. et al. Impact of Baseline BMI and Adherence to Follow-Up on the Outcome of Sleeve Gastrectomy in Treatment of Adolescent Obesity. OBES SURG 31, 2567–2575 (2021). https://doi.org/10.1007/s11695-021-05285-1

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