Metabolic surgery (gastric sleeve in adolescents: indications and contraindications)

Authors

  • Maricela Estefania Quichimbo Pereira Facultad de Salud Pública, Carrera de Medicina, Escuela Superior Politécnica de Chimborazo, Panamericana Sur km 1 ½, código postal EC 060155, Riobamba, Ecuador https://orcid.org/0009-0002-5908-7545
  • Cynthia Michelle Ortiz Frutos Facultad de Salud Pública, Carrera de Medicina, Escuela Superior Politécnica de Chimborazo, Panamericana Sur km 1 ½, código postal EC 060155, Riobamba, Ecuador. https://orcid.org/0009-0001-5617-1410
  • Tanya Gabriela Espín Riofrio Facultad de Salud Pública, Carrera de Medicina, Escuela Superior Politécnica de Chimborazo, Panamericana Sur km 1 ½, código postal EC 060155, Riobamba, Ecuador https://orcid.org/0009-0008-7647-8453
  • Mery Elizabeth Garcés Guevara Facultad de Salud Pública, Carrera de Medicina, Escuela Superior Politécnica de Chimborazo, Panamericana Sur km 1 ½, código postal EC 060155, Riobamba, Ecuador https://orcid.org/0000-0002-7310-6258
  • Alfonso Darío Bermeo Villacrés Facultad de Salud Pública, Carrera de Medicina, Escuela Superior Politécnica de Chimborazo, Panamericana Sur km 1 ½, código postal EC 060155, Riobamba, Ecuador https://orcid.org/0000-0002-1309-5008

DOI:

https://doi.org/10.47187/cssn.Vol14.Iss2.205

Keywords:

gastric sleeve, metabolic surgery, adolescence, indications, diagnostic

Abstract

Introduction: obesity is one of the factors that affects the general population. If it is not corrected from an early age, it can be detrimental to the general population. Although lifestyle and medical management remain part of the initial management of obesity, these therapies have been shown to be inferior compared to bariatric and metabolic surgery for severely obese adolescents. Objective: to describe the effectiveness of the use of the surgical procedure "gastric sleeve" in adolescents. Methods: a descriptive methodology was used. The information was obtained from databases such as PubMed, Science Direct, Scielo and Cochrane. Results: A total of 54 scientific articles were analyzed, of which 36 scientific articles found in the online databases were selected, all of them met the inclusion criteria. Discussion: The use of metabolic and bariatric surgery as a therapeutic strategy in adolescents with obesity has increased notably in recent times. Bariatric surgery is recognized as the most effective treatment from a clinical point of view, but certain criteria must be considered when performing a gastric sleeve surgery. Conclusion: Gastric sleeve surgery is the most effective treatment available for severely obese adolescents and has demonstrated variable degrees of sustained long-term weight loss leading to resolution of multiple associated conditions and improved quality of life.

Downloads

Download data is not yet available.

References

Grant HM, Perez-Caraballo A, Romanelli JR, Tirabassi MV. Metabolic and bariatric surgery is likely safe, but underutilized in adolescents aged 13-17 years. Surg Obes Relat Dis Off J Am Soc Bariatr Surg. junio de 2021;17(6):1146-51.

Stanford FC, Mushannen T, Cortez P, Campoverde Reyes KJ, Lee H, Gee DW, et al. Comparison of Short and Long-Term Outcomes of Metabolic and Bariatric Surgery in Adolescents and Adults. Front Endocrinol. 24 de marzo de 2020;11:157.

Lazzati A, Salaün-Penquer N, Ortala M, Vignot M, De Filippo G, Jung C. Trends in metabolic bariatric surgery in adolescents in France: a nationwide analysis on an 11- year period. Surg Obes Relat Dis Off J Am Soc Bariatr Surg. septiembre de 2021;17(9):1566-75.

Shoar S, Mahmoudzadeh H, Naderan M, Bagheri-Hariri S, Wong C, Parizi AS, et al. Resultado a largo plazo de la cirugía bariátrica en adolescentes con obesidad mórbida: revisión sistemática y metanálisis de 950 pacientes con un seguimiento mínimo de 3 años. Cirugía Obes. 2017; 27 (12):3110–7

Universo. EL Universo El Mayor Diario Nacional. Obtenido de Pandemia aumenta el sobrepeso y la obesidad en Ecuador. [En línea] 2019. https://www.eluniverso.com/noticias/informes/pandemia-aumenta-el-sobrepeso-y-la-obesidad-en-ecuador-nota/.

Roberts CA. Physical and Psychological Effects of Bariatric Surgery on Obese Adolescents: A Review. Front Pediatr. 27 de enero de 2021;8:591598

Bonouvrie DS, Beamish AJ, Leclercq WKG, Mil EGAH van, Luijten AAPM, Hazebroek EJ, et al. Laparoscopic roux-en-Y gastric bypass versus sleeve gastrectomy for teenagers with severe obesity - TEEN-BEST: study protocol of a multicenter randomized controlled trial. BMC Surg [Internet]. 2020 [citado 7 de diciembre de 2022];20. Disponible en: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7268239/

Till H, Mann O, Singer G, Weihrauch-Blüher S. Update on Metabolic Bariatric Surgery for Morbidly Obese Adolescents. Children. 9 de mayo de 2021;8(5):372.

Nicholas Schmoke, MD, Sarah Ogle , DO y Thomas Inge , MD, PhD. National library of medicine. Adolescent Bariatric Surgery. [En línea] 2021. [Citado el: 31 de 10 de 2022.] https://www.ncbi.nlm.nih.gov/books/NBK575728/

Grandone A, Di Sessa A, Umano GR, Toraldo R, Miraglia del Giudice E. New treatment modalities for obesity. Best Pract Res Clin Endocrinol Metab. 1 de agosto de 2018;32(4):535-49.

Misra M, Bredella MA. Bone Metabolism in Adolescents Undergoing Bariatric Surgery. J Clin Endocrinol Metab. 16 de noviembre de 2020;106(2):326-36.

Higgins JPT, Altman DG, Gøtzsche PC, Jüni P, Moher D, Oxman AD, et al. The Cochrane Collaboration’s tool for assessing risk of bias in randomised trials. BMJ [Internet]. 18 de octubre de 2019 [citado 5 de mayo de 2023];343:d5928.

MJ, McKenzie JE, Bossuyt PM, Boutron I, Hoffmann TC, Mulrow CD, et al. Declaración PRISMA 2020: una guía actualizada para la publicación de revisiones sistemáticas. Revista Española de Cardiología [Internet]. 1 de septiembre de 2021 [citado 24 de junio de 2022];74(9):790-9.

Levy JL, Levine MS, Rubesin SE, Williams NN, Dumon KR. Stenosis of gastric sleeve after laparoscopic sleeve gastrectomy: clinical, radiographic and endoscopic findings. Br J Radiol. septiembre de 2018;91(1089):20170702.

Singhal V, Nimmala S, Karzar NH, Bredella M, Misra M. One-Year Self-Reported Appetite Is Similar in Adolescents with Obesity Who Do or Do Not Undergo Sleeve Gastrectomy. Nutrients. 26 de julio de 2022;14(15):3054.

El Chaar M, King K, Al-Mardini A, Galvez A, Claros L, Stoltzfus J. Thirty-Day Outcomes of Bariatric Surgery in Adolescents: a First Look at the MBSAQIP Database. Obes Surg. 2021;31(1):194-9.

Pedroso FE, Angriman F, Endo A, Dasenbrock H, Storino A, Castillo R, et al. Weight loss after bariatric surgery in obese adolescents: a systematic review and meta-analysis. Surg Obes Relat Dis Off J Am Soc Bariatr Surg. marzo de 2018;14(3):413-22.

Cosentino C, Marchetti C, Monami M, Mannucci E, Cresci B. Efficacy and effects of bariatric surgery in the treatment of obesity: Network meta-analysis of randomized controlled trials. Nutr Metab Cardiovasc Dis NMCD. 22 de septiembre de 2021;31(10):2815-24.

Bolling CF, Armstrong SC, Reichard KW, Michalsky MP, SECTION ON OBESITY, SECTION ON SURGERY. Metabolic and Bariatric Surgery for Pediatric Patients With Severe Obesity. Pediatrics. diciembre de 2019;144(6):e20193224.

Jackson WL, Lewis SR, Bagby JP, Hilton LR, Milad M, Bledsoe SE. Laparoscopic sleeve gastrectomy versus laparoscopic Roux-en-Y gastric bypass in the pediatric population: a MBSAQIP analysis. Surg Obes Relat Dis Off J Am Soc Bariatr Surg. febrero de 2020;16(2):254-60.

Panca M, Viner RM, White B, Pandya T, Melo H, Adamo M, et al. Cost-effectiveness of bariatric surgery in adolescents with severe obesity in the UK. Clin Obes. 2018;8(2):105-13.

Fakhry TK, Mhaskar R, Schwitalla T, Muradova E, Gonzalvo JP, Murr MM. Bariatric surgery improves nonalcoholic fatty liver disease: a contemporary systematic review and meta-analysis. Surg Obes Relat Dis Off J Am Soc Bariatr Surg. marzo de 2019;15(3):502-11.

Michalsky MP, Inge TH, Jenkins TM, Xie C, Courcoulas A, Helmrath M, et al. Cardiovascular Risk Factors After Adolescent Bariatric Surgery. Pediatrics. febrero de 2018;141(2):e20172485.

Zafar SN, Shockcor N, Prasad N, Wise ES, Jackson HT, Kligman M. Laparoscopic Sleeve Gastrectomy has a Lower Risk of Postoperative Bleeding Than Laparoscopic Roux-en-Y Gastric Bypass. Surg Laparosc Endosc Percutan Tech. febrero de 2019;29(1):53-7.

Xanthakos SA, Khoury JC, Inge TH, Jenkins TM, Modi AC, Michalsky MP, et al. Nutritional Risks in Adolescents After Bariatric Surgery. Clin Gastroenterol Hepatol Off Clin Pract J Am Gastroenterol Assoc. mayo de 2020;18(5):1070-1081.e5.

ROVIRA AF. Controversias en la cirugía de la obesidad en el niño y adolescentes. Rev Española Endocrinol Pediátrica [Internet]. noviembre de 2018 [citado 7 de diciembre de 2022];(9). Disponible en: https://doi.org/10.3266/RevEspEndocrinolPediatr.pre2018.Nov.490

Altieri MS, Pryor A, Bates A, Docimo S, Talamini M, Spaniolas K. Bariatric procedures in adolescents are safe in accredited centers. Surg Obes Relat Dis Off J Am Soc Bariatr Surg. septiembre de 2018;14(9):1368-72.

Xanthakos SA, Khoury JC, Inge TH, Jenkins TM, Modi AC, Michalsky MP, et al. Nutritional Risks in Adolescents After Bariatric Surgery. Clin Gastroenterol Hepatol Off Clin Pract J Am Gastroenterol Assoc. mayo de 2020;18(5):1070-1081.e5.

Norain A, Arafat M, Burjonrappa S. Trending Weight Loss Patterns in Obese and Super Obese Adolescents: Does Laparoscopic Sleeve Gastrectomy Provide Equivalent Outcomes in both Groups? Obes Surg. agosto de 2019;29(8):2511-6.

O’Kane M, Parretti HM, Pinkney J, Welbourn R, Hughes CA, Mok J, et al. British Obesity and Metabolic Surgery Society Guidelines on perioperative and postoperative biochemical monitoring and micronutrient replacement for patients undergoing bariatric surgery—2020 update. Obes Rev. noviembre de 2020;21(11):e13087.

Chu L, Steinberg A, Mehta M, O’Kane C, Toulany A, Langer JC, et al. Resting Energy Expenditure and Metabolic Adaptation in Adolescents at 12 Months After Bariatric Surgery. J Clin Endocrinol Metab. 1 de julio de 2019;104(7):2648-56.

Barzin M, Khalaj A, Tasdighi E, Samiei Nasr D, Mahdavi M, Banihashem S, et al. Sleeve gastrectomy vs gastric bypass in improvement of depressive symptoms following one year from bariatric surgery, Tehran Obesity Treatment Study (TOTS). Obes Res Clin Pract. 2020;14(1):73-9.

Aryannezhad S, Hosseinpanah F, Khalaj A, Mahdavi M, Valizadeh M, Akhavirad SMB, et al. Comparison of the one-year outcomes of bariatric surgery in adolescents and young adults: a matched case-control study, Tehran Obesity Treatment Study (TOTS). Surg Today. noviembre de 2021;51(11):1764-74.

Torres G M, Herrera G, Torres C. A, Herrera A, Calero L. G, Delgado S. J. Eficacia de la cirugía bariátrica-metabólica en pacientes con obesidad y diabetes mellitus tipo 2. MetroCiencia [Internet]. 1 de diciembre de 2019 [citado 6 de mayo de 2023];27(2):72-7.

Chamorro K, Montenegro M, Eficacia de la cirugía bariátrica-metabólica en pacientes con obesidad morbida. [Internet]. Septiembre diciembre de 2022 [citado 5 de mayo de 2023].Disponible en: http://repositorio.ug.edu.ec/bitstream/redug/52200/1/CD%203164-%20CHAMORRO%20CORTEZ%20KATHERINE%20PAOLA%2C%20MONTENEGRO%20SAMANIEGO%20MAURICIO%20LEONCIO.pdf

Amézquita G. María Virginia, Baeza L. Cecilia, Ríos E. Matías, Francesetti M. Valeria, Rybertt V. Vivian, Gutiérrrez R. Mariolly. Cirugía bariátrica en adolescentes con obesidad severa: Recomendaciones de la Rama de Nutrición, Sociedad Chilena de Pediatría. Rev. chil. pediatr. [Internet]. 2020 Ago [citado 2023 Mayo 05] ; 91( 4 ): 631-641.

Published

2023-07-31

How to Cite

Quichimbo Pereira, M. E., Ortiz Frutos, C. M., Espín Riofrio, T. G., Garcés Guevara, M. E., & Bermeo Villacrés, A. D. (2023). Metabolic surgery (gastric sleeve in adolescents: indications and contraindications). LA CIENCIA AL SERVICIO DE LA SALUD Y NUTRICIÓN, 14(2), C_47–56. https://doi.org/10.47187/cssn.Vol14.Iss2.205

Issue

Section

Revisiones bibliográficas

Most read articles by the same author(s)