Laparoscopic gastric plication in the morbidly obese adolescent patient.
Childhood obesity is a significant problem. Due in part to suboptimal weight loss with lifestyle intervention alone, bariatric surgery, combined with ongoing lifestyle changes, has become a favorable approach in adolescents with severe obesity and weight-related comorbidities and is associated with effective weight loss and reducing weight-related comorbidities. Laparoscopic greater curvature plication is a promising new bariatric surgical procedure that has been shown to be effective in adults with severe obesity but has not been evaluated in the adolescent population. Gastric plication may be a particularly attractive approach for the adolescent patient as it is potentially reversible, does not involve the surgical removal of tissue, and is without a significant malabsorptive component. Our team has obtained approval from our Institutional Review Board to perform a laparoscopic greater curvature plication on 30 adolescent patients with severe obesity and study its effect on weight loss, metabolic effects, and psychological functioning in the setting of a multidisciplinary program. Results of this study, including comprehensive clinical and psychological data collected over a 3.5-year span, will inform larger prospective investigations comparing the laparoscopic greater curvature plication and other bariatric operations in the adolescent population.
Department of Surgery, Virginia Commonwealth University, Virginia.
Poornima
P
Vanguri
Advanced Surgical Partners of Virginia, Parham Doctors Hospital, Virginia.
Matthew
M
Brengman
Department of Surgery, Virginia Commonwealth University, Virginia; Department of Pediatrics, Children's Hospital of Richmond at Virginia Commonwealth University, Virginia.
Claudio
C
Oiticica
Department of Internal Medicine, Virginia Commonwealth University, Virginia; Advanced Surgical Partners of Virginia, Parham Doctors Hospital, Virginia.
Edmond P
EP
Wickham
Department of Pediatrics, Children's Hospital of Richmond at Virginia Commonwealth University, Virginia.
Melanie K
MK
Bean
Department of Surgery, Virginia Commonwealth University, Virginia; Department of Pediatrics, Children's Hospital of Richmond at Virginia Commonwealth University, Virginia. Electronic address: dlanning@mcvh-vcu.edu.
David A
DA
Lanning
D000293:Adolescent; D002985:Clinical Protocols; D015391:Gastroplasty / Q000379:methods*; D006801:Humans; D010535:Laparoscopy; D009767:Obesity, Morbid / Q000601:surgery*; D063766:Pediatric Obesity / Q000601:surgery*; D010865:Pilot Projects; D011182:Postoperative Care / Q000379:methods; D016896:Treatment Outcome
Adolescent; Bariatric; Gastric; Greater curvature; Plication