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首页> 外文期刊>Clinical obesity. >Thirty-day outcomes for children and adolescents undergoing laparoscopic sleeve gastrectomy at a free-standing children's hospital
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Thirty-day outcomes for children and adolescents undergoing laparoscopic sleeve gastrectomy at a free-standing children's hospital

机译：术后结果为儿童和青少年接受腹腔镜袖在胃切除术独立的儿童医院

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The obesity epidemic continues to affect millions of children and adolescents. Non-surgical options do not result in significant or sustained weight loss; thus bar-iatric surgery has become increasingly utilized. Limited data exist regarding safety for paediatric bariatric surgery, especially outside of National Institutes of Health (NIH)-funded centres. We hypothesized that the perioperative outcomes of paediatric patients undergoing laparoscopic sleeve gastrectomy (LSG) at our freestanding children's hospital would provide adequate safety profiles. We retrospectively reviewed demographics, comorbidities and 30-d outcomes for all patients who underwent LSG from 2010 to 2015 at a free-standing children's hospital. A total of 105 patients underwent 107 LSG procedures (two revisions). Mean age was 17.2 ± 2.4 years. Male to female ratio was 1:4. The majority were Black (57.1%), followed by White (21.0%) and Hispanic (18.1%). The mean body mass index was 51.0 ± 9.8 kg/m2. Comorbidities included obstructive sleep apnea (59.0%), hypertension (15.2%), polycystic ovarian disease (16.7% of females only), depression (12.4%) and diabetes (11.4%). Median length of stay was 2.0 d (1-7 d). There were no deaths. Major complications occurred in four patients (3.8%); three required reoperation. Four patients (3.8%) experienced minor complications. Laparoscopic sleeve gastrectomy can be safely performed for children and adolescents at a free-standing children's hospital without NIH-support.
机译：肥胖症持续影响数百万人的儿童和青少年。不会导致严重或持续的体重吗损失;越来越多的利用。关于安全儿科减肥手术,尤其是以外的国家国立卫生研究院(NIH)资助的中心。假设的围手术期的结果儿科患者接受腹腔镜袖胃切除术(汉莎天厨)在我们的独立儿童医院将提供足够的安全配置文件。人口、并发症和30 d结果汉莎天厨从2010年到2015年所有的病人在一个独立的儿童医院。107年共有105例病人接受了汉莎天厨程序(两个修正)。男女比例是1:4。(57.1%),其次是白人(21.0%)和西班牙裔(18.1%)。kg / m2。呼吸暂停(59.0%)、高血压(15.2%)、多囊卵巢疾病(16.7%的女性),抑郁(12.4%)、糖尿病(11.4%)。停留时间为2.0 d (1 - 7 d)。没有人死亡。例(3.8%);例(3.8%)经历了轻微的并发症。腹腔镜袖胃切除术可以安全地儿童和青少年的执行独立的儿童医院NIH-support。

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