Bariatric Surgery in Youth and Adolescents: The Experience of an Outpatient Obesity Clinic in a Central Hospital in Portugal
Autor(a) principal: | |
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Data de Publicação: | 2020 |
Outros Autores: | , , , , |
Tipo de documento: | Artigo |
Idioma: | eng |
Título da fonte: | Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) |
Texto Completo: | https://doi.org/10.25754/pjp.2020.19485 |
Resumo: | Obesity in children and adolescents is a huge Public Health burden. Lifestyle modification interventions in in some youth with severe obesity show only marginal effectiveness. As a result of the significant prevalence rate of severe comorbidities and substantial long-term health risks associated with pediatric obesity, bariatric surgery has emerged as an option for adolescents with severe obesity and/or serious weight-related comorbidities who have experienced insufficient responses with other treatments. Weight loss surgery should be conducted in the context of a multidisciplinary program. The purposes of this report were to analyze retrospectively the impact of bariatric surgery in body mass index (BMI) and improvements of comorbidities in severely obese adolescents followed at the Obesity Pediatric Outpatient Clinic of Centro Hospitalar Lisboa Norte (CHLN) between 2012-2016. Twelve adolescents underwent bariatric procedure during this period. The most prevalent comorbidities were hypertension and insulin resistance. Mean BMI, after one year, decreased from 48,9kg/m2 at baseline to 38,9kg/m2. Improvements have been seen for many of the comorbidities. Regarding adverse events, two major surgical complications took place, two cases of depression and one weight regain with binge eating. The follow-up of these patients suggest that bariatric surgery appears to be effective in weight loss and reduction of comorbidities, however surgery and medical complications related to the surgical procedure are not negligible. Future studies should analyze the impact of the different surgical procedures and postoperative care on the minimization of adverse events as well as the long-term follow-up into adulthood. |
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Bariatric Surgery in Youth and Adolescents: The Experience of an Outpatient Obesity Clinic in a Central Hospital in PortugalCase seriesObesity in children and adolescents is a huge Public Health burden. Lifestyle modification interventions in in some youth with severe obesity show only marginal effectiveness. As a result of the significant prevalence rate of severe comorbidities and substantial long-term health risks associated with pediatric obesity, bariatric surgery has emerged as an option for adolescents with severe obesity and/or serious weight-related comorbidities who have experienced insufficient responses with other treatments. Weight loss surgery should be conducted in the context of a multidisciplinary program. The purposes of this report were to analyze retrospectively the impact of bariatric surgery in body mass index (BMI) and improvements of comorbidities in severely obese adolescents followed at the Obesity Pediatric Outpatient Clinic of Centro Hospitalar Lisboa Norte (CHLN) between 2012-2016. Twelve adolescents underwent bariatric procedure during this period. The most prevalent comorbidities were hypertension and insulin resistance. Mean BMI, after one year, decreased from 48,9kg/m2 at baseline to 38,9kg/m2. Improvements have been seen for many of the comorbidities. Regarding adverse events, two major surgical complications took place, two cases of depression and one weight regain with binge eating. The follow-up of these patients suggest that bariatric surgery appears to be effective in weight loss and reduction of comorbidities, however surgery and medical complications related to the surgical procedure are not negligible. Future studies should analyze the impact of the different surgical procedures and postoperative care on the minimization of adverse events as well as the long-term follow-up into adulthood.A obesidade em crianças e adolescentes é um problema de saúde pública. O sucesso no controlo de peso em alguns jovens com obesidade mórbida, através de intervenções na modificação do estilo de vida, apresenta eficácia parcial. Considerando a elevada prevalência de comorbilidades a curto e longo prazo associados à obesidade pediátrica, a cirurgia bariátrica emergiu como opção em adolescentes com obesidade mórbida e/ou patologias associadas ao excesso de peso, sem melhoria com outras opções terapêuticas. A cirurgia bariátrica, deve ser realizada no contexto de um acompanhamento médico multidisciplinar. Foi feita a análise retrospetiva do impacto da cirurgia bariátrica no índice de massa corporal (IMC) e na melhoria das comorbilidades em adolescentes com obesidade mórbida, seguidos na consulta de Obesidade Pediátrica do Centro Hospitalar Lisboa Norte entre 2012-2016. Doze adolescentes foram submetidos a cirurgia bariátrica durante esse período. As patologias mais frequentes foram a hipertensão arterial e a insulinorresistência. Assistiu-se a uma diminuição do IMC médio de 48,9 kg/m2 para 38,9kg/m2 um ano após intervenção cirúrgica. Adicionalmente houve uma melhoria das comorbilidades associadas. Relativamente aos efeitos adversos, destacaram-se duas complicações cirúrgicas, dois casos de depressão e um caso de binge eating com consequente ganho ponderal. A análise destes casos sugere que a cirurgia bariátrica é eficaz na perda ponderal e controlo das doenças secundárias ao excesso de peso, no entanto, as complicações cirúrgicas e médicas após cirurgia não são desprezíveis. São necessários mais estudos para analisar o impacto dos diferentes procedimentos cirúrgicos, cuidados a considerar de forma a minimizar os efeitos adversos e avaliar os resultados a longo prazo.Sociedade Portuguesa de Pediatria2020-07-09info:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/articlehttps://doi.org/10.25754/pjp.2020.19485eng2184-44532184-3333Pinto, Patricia LipariNeves, SérgioFreira, SílviaFerreira, Pedro DiasRaposo, JoãoFonseca, Helenainfo:eu-repo/semantics/openAccessreponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)instname:Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãoinstacron:RCAAP2023-08-03T02:58:07Zoai:ojs.revistas.rcaap.pt:article/19485Portal AgregadorONGhttps://www.rcaap.pt/oai/openaireopendoar:71602024-03-19T20:25:34.083760Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) - Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãofalse |
dc.title.none.fl_str_mv |
Bariatric Surgery in Youth and Adolescents: The Experience of an Outpatient Obesity Clinic in a Central Hospital in Portugal |
title |
Bariatric Surgery in Youth and Adolescents: The Experience of an Outpatient Obesity Clinic in a Central Hospital in Portugal |
spellingShingle |
Bariatric Surgery in Youth and Adolescents: The Experience of an Outpatient Obesity Clinic in a Central Hospital in Portugal Pinto, Patricia Lipari Case series |
title_short |
Bariatric Surgery in Youth and Adolescents: The Experience of an Outpatient Obesity Clinic in a Central Hospital in Portugal |
title_full |
Bariatric Surgery in Youth and Adolescents: The Experience of an Outpatient Obesity Clinic in a Central Hospital in Portugal |
title_fullStr |
Bariatric Surgery in Youth and Adolescents: The Experience of an Outpatient Obesity Clinic in a Central Hospital in Portugal |
title_full_unstemmed |
Bariatric Surgery in Youth and Adolescents: The Experience of an Outpatient Obesity Clinic in a Central Hospital in Portugal |
title_sort |
Bariatric Surgery in Youth and Adolescents: The Experience of an Outpatient Obesity Clinic in a Central Hospital in Portugal |
author |
Pinto, Patricia Lipari |
author_facet |
Pinto, Patricia Lipari Neves, Sérgio Freira, Sílvia Ferreira, Pedro Dias Raposo, João Fonseca, Helena |
author_role |
author |
author2 |
Neves, Sérgio Freira, Sílvia Ferreira, Pedro Dias Raposo, João Fonseca, Helena |
author2_role |
author author author author author |
dc.contributor.author.fl_str_mv |
Pinto, Patricia Lipari Neves, Sérgio Freira, Sílvia Ferreira, Pedro Dias Raposo, João Fonseca, Helena |
dc.subject.por.fl_str_mv |
Case series |
topic |
Case series |
description |
Obesity in children and adolescents is a huge Public Health burden. Lifestyle modification interventions in in some youth with severe obesity show only marginal effectiveness. As a result of the significant prevalence rate of severe comorbidities and substantial long-term health risks associated with pediatric obesity, bariatric surgery has emerged as an option for adolescents with severe obesity and/or serious weight-related comorbidities who have experienced insufficient responses with other treatments. Weight loss surgery should be conducted in the context of a multidisciplinary program. The purposes of this report were to analyze retrospectively the impact of bariatric surgery in body mass index (BMI) and improvements of comorbidities in severely obese adolescents followed at the Obesity Pediatric Outpatient Clinic of Centro Hospitalar Lisboa Norte (CHLN) between 2012-2016. Twelve adolescents underwent bariatric procedure during this period. The most prevalent comorbidities were hypertension and insulin resistance. Mean BMI, after one year, decreased from 48,9kg/m2 at baseline to 38,9kg/m2. Improvements have been seen for many of the comorbidities. Regarding adverse events, two major surgical complications took place, two cases of depression and one weight regain with binge eating. The follow-up of these patients suggest that bariatric surgery appears to be effective in weight loss and reduction of comorbidities, however surgery and medical complications related to the surgical procedure are not negligible. Future studies should analyze the impact of the different surgical procedures and postoperative care on the minimization of adverse events as well as the long-term follow-up into adulthood. |
publishDate |
2020 |
dc.date.none.fl_str_mv |
2020-07-09 |
dc.type.status.fl_str_mv |
info:eu-repo/semantics/publishedVersion |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article |
format |
article |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
https://doi.org/10.25754/pjp.2020.19485 |
url |
https://doi.org/10.25754/pjp.2020.19485 |
dc.language.iso.fl_str_mv |
eng |
language |
eng |
dc.relation.none.fl_str_mv |
2184-4453 2184-3333 |
dc.rights.driver.fl_str_mv |
info:eu-repo/semantics/openAccess |
eu_rights_str_mv |
openAccess |
dc.publisher.none.fl_str_mv |
Sociedade Portuguesa de Pediatria |
publisher.none.fl_str_mv |
Sociedade Portuguesa de Pediatria |
dc.source.none.fl_str_mv |
reponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) instname:Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação instacron:RCAAP |
instname_str |
Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação |
instacron_str |
RCAAP |
institution |
RCAAP |
reponame_str |
Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) |
collection |
Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) |
repository.name.fl_str_mv |
Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) - Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação |
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1799133524811317248 |