• Tiago Tuna, Maria do Céu Espinheira, Carla Vasconcelos, John Preto, and José M Campos.
• Pediatric Surgery Department, Centro Hospitalar e Universitário de São João, Faculdade de Medicina. Alameda Prof. Hernâni Monteiro, 4200-319, Porto, Portugal. Electronic address: tiago_tuna6@hotmail.com.
• Arch Pediatr. 2020 Aug 1; 27 (6): 310-314.

IntroductionChildhood obesity is a significant health problem worldwide, associated with significant metabolic and cardiovascular morbidity. Recent evidence points to metabolic and bariatric surgery as a safe and effective treatment for morbidly obese adolescents. We aim to report the initial results after laparoscopic sleeve gastrectomy (LSG) for adolescent patients in a pediatric center.Material And MethodsRetrospective data review of patients younger than 19 years who underwent LSG for treatment of morbid obesity between 2013 and 2019.ResultsA total of 16 adolescents (12 female, 4 male) with a median age of 17.5 years underwent LSG. Median preoperative weight and body mass index were 129kg and 48.6kg/m-2, respectively. All patients had at least one comorbidity. Median follow-up was 18.5 months. The overall percent total weight loss was 32.5% and percent excess weight loss was 68%. Resolution of comorbidities was noted in the majority of patients. No perioperative complications were reported.ConclusionsLaparoscopic sleeve gastrectomy is a safe and effective option for treatment of morbidly obese adolescents, resulting in significant weight loss and comorbidity resolution with a low risk of complications.Copyright © 2020 French Society of Pediatrics. Published by Elsevier Masson SAS. All rights reserved.

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