Laparoscopic sleeve gastrectomy in a pediatric patient

Rachel L. Garness, Abdalla E. Zarroug, Seema Kumar, James M. Swain

Research output: Contribution to journalArticle

5 Citations (Scopus)

Abstract

Laparoscopic sleeve gastrectomy (LSG) is a novel technique in pediatric bariatric surgery. The patient reported here participated in our pediatric weight management clinic for 2 years. His obesity was complicated by obstructive sleep apnea, acanthosis nigricans, and hypertension. His past medical history included 2 small bowel resections, bilateral nephrectomy and kidney transplantation for multicystic renal dysplasia, and 2 peritoneal dialysis-catheter infections. Gastric banding was contraindicated because of previous foreign body infections and chronic need of immunosuppression and steroids. Roux-en-Y gastric bypass was of higher risk given his previous abdominal operations and the resulting medication absorption issues. He underwent LSG without any complications. Five trocars were utilized and a gastroscope was placed during gastric resection. Presurgical body mass index was 44.8 kg/m. At 18 months follow-up body mass index was 26.5 kg/m. We concur that LSG can be a safe and effective alternative in bariatric surgery in well-selected adolescents.

Original languageEnglish (US)
JournalSurgical Laparoscopy, Endoscopy and Percutaneous Techniques
Volume22
Issue number2
DOIs
StatePublished - Apr 2012

Fingerprint

Gastrectomy
Bariatric Surgery
Pediatrics
Stomach
Body Mass Index
Gastroscopes
Multicystic Dysplastic Kidney
Acanthosis Nigricans
Gastric Bypass
Peritoneal Dialysis
Obstructive Sleep Apnea
Foreign Bodies
Infection
Nephrectomy
Surgical Instruments
Kidney Transplantation
Immunosuppression
Catheters
Obesity
Steroids

Keywords

  • adolescence
  • bariatric
  • laparoscopic
  • morbid obesity
  • sleeve gastrectomy

ASJC Scopus subject areas

  • Surgery

Cite this

Laparoscopic sleeve gastrectomy in a pediatric patient. / Garness, Rachel L.; Zarroug, Abdalla E.; Kumar, Seema; Swain, James M.

In: Surgical Laparoscopy, Endoscopy and Percutaneous Techniques, Vol. 22, No. 2, 04.2012.

Research output: Contribution to journalArticle

Garness, Rachel L. ; Zarroug, Abdalla E. ; Kumar, Seema ; Swain, James M. / Laparoscopic sleeve gastrectomy in a pediatric patient. In: Surgical Laparoscopy, Endoscopy and Percutaneous Techniques. 2012 ; Vol. 22, No. 2.
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