Laparoscopic gastric plication in the morbidly obese adolescent patient |
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Affiliation: | 1. Program “Cardiopulmonary Resuscitation”, University of Athens, Medical School, Athens, Greece;2. Program “Cardiopulmonary Resuscitation”, Medical School, Athens, Greece;3. 2nd Department of Obstetrics and Gynaecology, University of Athens, Medical School, Athens, Greece;1. Internal Medicine Department, Hospital RoyoVillanova, Zaragoza, Spain;2. Research Group on Comorbidity and Polypathology in Aragón, Aragón Health Sciences Institute, Zaragoza, Spain;3. Department of Medicine, Dermatology and Psychiatry, University of Zaragoza School of Medicine, Spain |
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Abstract: | 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. |
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Keywords: | Gastric Plication Greater curvature Adolescent Bariatric |
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