DOI: http://dx.doi.org/10.18203/2349-2902.isj20184714

OAGB/MGB for childhood and adolescent patients: a report of 20 cases done at a single centre in India

Mahak Bhandari, Mohit Bhandari, Winni Mathur, Susmit Kosta

Abstract


Background: Morbid obesity has risen in an alarming rate in children and adolescent patients. Bariatric surgery is playing an increasing role in pediatric surgery. However, current evidence is limited regarding its safety and outcome.

The aim of this study is to evaluate the efficacy of Mini/One Anastomosis Gastric Bypass (MGB/OAGB) in treating obesity and its co-morbidities among childhood and adolescent patients.

Methods: A retrospective study was conducted of patients aged <18 who underwent OAGB/MGB in this series at Mohak Bariatric and Robotic Surgery Center (MBRSC) is a tertiary-care center. The major outcome measures were percent excess body weight loss (%EBWL) over a 2-year follow-up period, resolution of co-morbidities, and occurrence of complications.

Results: A total of 20 childhood and adolescent patients underwent the procedure, of which, 11 (55.0%) of being males. The patients had a median age of 15 years (range 6–18). The average age was 15.5±3.17 year (range 6-18 years). The initial average weight and BMI was 112.13±26.52Kgs and 40.86±8.17 kg/m2 respectively. Postoperative average weight loss was 28kgs, 33kgs and 37.2kgs in 6 months, 1st year and 2nd years respectively. The %EBWL at 1st and 2nd years was 75% and 80% respectively. Overall post-operative complication rate was 5.0% (two cases) of which one had gastroesophageal reflux and the other had protein caloric malnutrition. There was no mortality in this series at any time.

Conclusions: The OAGB/MGB operation is a safe and effective option for childhood and adolescent patients with severe obesity. There is need for both long-term follow up, prospective, multicentre and larger series studies to confirm the findings in this study.


Keywords


Adolescent, Mini/one Anastomosis gastric bypass (MGB/OAGB), Severe obesity

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References


Strauss RS, Pollack HA. Epidemic increase in childhood overweight. JAMA. 2001;286(22):2845-8.

Kumar S, Mahabalaraju DK, Anuroopa MS. Prevalence of obesity and its influencing factor among affluent school children of Davangere city. Indian J Community Med. 2007;32(1):15.

Subramanyam V, Rafi M. Prevalence of overweight and obesity in affluent adolescent girls in Chennai in 1981 and 1998. Indian pediatrics. 2003;40(4):332-6.

Kapil U, Singh P, Pathak P, Dwivedi SN, Bhasin S. Prevalence of obesity amongst affluent adolescent school children in Delhi. Indian Pediatrics. 2002;39(5):449-52.

Ahmad QI, Ahmad CB, Ahmad SM. Childhood Obesity. Indian J Endocrinol Metabol. 2010; 14(1):19-25.

Fielding GA, Duncombe JE. Laparoscopic adjustable gastric banding in severely obese adolescents. Surg Obes Relat Dis. 2005;1(4):399-405.

Russell-Mayhew S, McVey G, Bardick A, Ireland A. Mental health, wellness and childhood overweight/obesity. Journal of obesity. 2012;2012.

Alqahtani A, Alamri H, Elahmedi M, Mohammed R. Laparoscopic sleeve gastrectomy in adult and pediatric obese patients: a comparative study. Surgical endoscopy. 2012;26(11):3094-100.

Savoye M, Shaw M, Dziura J, Tamborlane WV, Rose P, Guandalini C, et al. Effects of a weight management program on body composition and metabolic parameters in overweight children: a randomized controlled trial. JAMA. 2007;297(24):2697-704.

Benaiges D, Más-Lorenzo A, Goday A, Ramon JM, Chillarón JJ, Pedro-Botet J, Flores-Le Roux JA. Laparoscopic sleeve gastrectomy: more than a restrictive bariatric surgery procedure? World Journal of Gastroenterology. 2015;21(41):11804.

Nadler EP, Barefoot LC, Qureshi FG. Early results after laparoscopic sleeve gastrectomy in adolescents with morbid obesity. Surgery. 2012;152(2):212-7.

Alqahtani AR, Antonisamy B, Alamri H, Elahmedi M, Zimmerman VA. Laparoscopic sleeve gastrectomy in 108 obese children and adolescents aged 5 to 21 years. Ann Surg. 2012;256(2):266-73.

Boza C, Viscido G, Salinas J, Crovari F, Funke R, Perez G. Laparoscopic sleeve gastrectomy in obese adolescents: results in 51 patients. Surgery for Obesity and related diseases. 2012;8(2):133-7.

Al-Sabah SK, Almazeedi SM, Dashti SA, Al-Mulla AY, Ali DA, Jumaa TH. The efficacy of laparoscopic sleeve gastrectomy in treating adolescent obesity. Obesity surgery. 2015;25(1):50-4.

Raziel A, Sakran N, Szold A. Mid-term follow-up after laparoscopic sleeve gastrectomy in obese adolescents. Isr Med Assoc J. 2014;16(1):37-41.

Nocca D, Nedelcu M, Nedelcu A. Laparoscopic sleeve gastrectomy for late adolescent population. Obes Surg. 2014;24(6):861-5.