Laparoscopic sleeve gastrectomy for morbidly obese children and adolescents in Saudi Arabia

Ahmad M. Kashha; Abdurrahman F. Mirza; Hassan H. Alzebedi; Salim M. Kashha; Ali M. Assiri; Hashim A. Alghamdi

doi:10.18203/2349-2902.isj20241731

Authors

Ahmad M. Kashha Department of Pediatric Surgery, Maternity and Children Hospital, Abha, Saudi Arabia
Abdurrahman F. Mirza Department of Pediatric Surgery, King Abdulaziz Medical City, Jeddah, Saudi Arabia
Hassan H. Alzebedi Department of Pediatric Surgery, Maternity and Children Hospital, Abha, Saudi Arabia
Salim M. Kashha King Abdulaziz University, Jeddah, Saudi Arabia
Ali M. Assiri Department of Pediatric Surgery, Maternity and Children Hospital, Abha, Saudi Arabia
Hashim A. Alghamdi Department of Pediatric Surgery, Maternity and Children Hospital, Abha, Saudi Arabia

DOI:

https://doi.org/10.18203/2349-2902.isj20241731

Keywords:

Children and adolescents, Complications, Laparoscopic sleeve gastrectomy, Morbid obesity, Weight loss

Abstract

Background: In this study, laparoscopic sleeve gastrectomy results for pediatric and adolescent patients with morbid obesity over a 4-year period at Maternal and Children Hospital in Abha, kingdom of Saudi Arabia were reported.

Methods: A study reviewed data on 15-year-old or younger Patients who underwent laparoscopic sleeve gastrectomy to manage morbid obesity. Demographics, clinical characteristics, complications, BMI, and symptom resolution were collected from medical records from 2017-2020. Data was obtained from patients' medical records.

Results: Our study showed Postoperative complications occurred in one patient (2.6%), and gallbladder stones were observed in three patients (7.9%), while gastritis was reported in two patients (5.3%). The BMI changes at 6, 12, and 24 months were -7.49, -14.00, and -20.20 kg/m², respectively, and the percentage changes in BMI were -16%, -30.69%, and -44.28%. The resolution of symptoms and comorbid diseases was 100% for respiratory symptoms and obstructive sleep apnea, 71.4% for musculoskeletal symptoms, 50% for bronchial asthma and diabetes mellitus, and 25% for hypothyroidism.

Conclusions: Laparoscopic sleeve gastrectomy is a safe and effective method for treating morbidly obese children and adolescents. It achieves considerable weight loss and comorbidity resolution with a low risk of consequences.

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