title: Laparoscopic sleeve gastrectomy in a pediatric patient.
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.
authors.affiliation: Department of Surgery, Division of Pediatric Surgery, Mayo Clinic, Rochester, MN, USA.
authors.forename: Rachel L
authors.initials: RL
authors.lastname: Garness
authors.forename: Abdalla E
authors.initials: AE
authors.lastname: Zarroug
authors.forename: Seema
authors.initials: S
authors.lastname: Kumar
authors.forename: James M
authors.initials: JM
authors.lastname: Swain
mesh_terms: D000052:Acanthosis Nigricans / Q000150:complications; D000293:Adolescent; D050110:Bariatric Surgery / Q000379:methods*; D005743:Gastrectomy / Q000379:methods*; D006801:Humans; D006973:Hypertension / Q000150:complications; D010535:Laparoscopy / Q000379:methods*; D008297:Male; D009767:Obesity, Morbid / Q000150:complications / Q000601:surgery*; D020181:Sleep Apnea, Obstructive / Q000150:complications; D016896:Treatment Outcome