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Volume 8

Journal of Obesity & Weight Loss Therapy

Obesity Middle East 2018

June 25-26, 2018

June 25-26, 2018 Dubai, UAE

Middle East Obesity, Bariatric Surgery

and Endocrinology Congress

Sleeve gastrectomy for children and conversion rate

Sami Salem Ahmad, Suhaib Ahmad

Istishari Hospital, Jordon

Buckingham University, UK

Background & Aim:

The incidence of obesity children is increasing worldwide. Which bariatric procedure is the best for the

affected children is still debatable. We observed the results of sleeve gastrectomy and conversion rate for children.

Method:

Between 2006 and 2014, we have performed 36 sleeve gastrectomies for children at the age between 8 and 12 years. 34

(94%) were available for follow up between 3-10 years. We collected our data prospectively. Recorded data preoperatively included

age, sex, comorbidity, Body Mass Index (BMI). Postoperatively recorded data included intra and post-operative morbidity and

mortality, percentage of Excess Weight Loss (%EWL) at 3, 6 and 12 months and then annually up to 10 years postoperatively and

the conversion rate to gastric bypass.

Results:

Mean BMI preoperative was 47 kg/m2, 5 (15%) children of the 34 had Prader-Willi syndrome, weight loss was high in the

first 2 years and then started to increase within the first 5 years postoperatively. 10 children had conversion to omega gastric bypass

within the first 5 years. All 5 children with Prader-Willi syndrome were converted to omega gastric bypass. After the conversion

they started to lose weight. Comorbidity was present before surgery in 30 patients (83%) which has decreased in majority of cases

in first 5 years, the remaining 25 patients maintained excess weight loss between 25-52%.

Conclusion:

Sleeve gastrectomy for children seems to be less effective than it is known for adults, especially in Prader-Willi

syndrome. It could be however a bridging procedure and the omega bypass could be more effective.

J Obes Weight Loss Ther 2018, Volume 8

DOI: 10.4172/2165-7904-C3-064