oa The outcomes of sleeve gastrectomy for treatment of morbidly obese adolescents in Hamad General Hospital

Introduction: Obesity is a global problem affecting adolescents and teens with profound psychological and medical sequelae. The role of bariatric surgery in adolescents remains controversial. The aim of the study is to report our results with sleeve gastrectomy in this population. Goal of study: To study the efficacy of sleeve gastrectomy as a treatment for obese adolescents in terms of weight loss, comorbidity resolution and safety of procedure. Methods: Retrospective review of our records of all patients under the age of 19 who underwent laparoscopic sleeve gastrectomy in Hamad General Hospital in the years 2010-2012. Variables studied included; age, BMI, preoperative and postoperative weight, sex, comorbidities, length of stay, operative time, and early or late onset complications. Results: Out of 700 patients from our institute, 37 patients (5%) were adolescents. 45% males N=17 and 55% females N=20. Mean age was 17 ±1.5. Mean length of stay was 3.6 ±0.8. Mean operative time was 64 ±17 minute. Mean preoperative weight 141 ±27 kgs (200-94.) Mean BMI 51±8.8 kg/m2 (72-35). With regard to comorbidities, one person had obstructive sleep apnea and reported resolution. Mean follow up was 8 months (17-1), mean post op BMI 38 ±11.8 kg/m2 (23-70), mean excess weight loss -28% (4-45%). Mortality 0%. Morbidity 0%. Conclusion: Laparoscopic sleeve gastrectomy is a safe option for treatment of obese adolescents. It is particularly effective in this particular group with satisfactory safety profile and adequate weight loss. However, longer follow up is needed to evaluate the long term effects of the surgery.