Obesity affects 3%-4% of the pediatric population and leads to cardiac mortality during adult life. Bariatric surgery is the best treatment for weight loss and preventing obesity associated comorbidities in adults, but its applications and safety are yet to be defined for adolescents.
Since 2008, in France, certain university hospitals have been eligible to perform bariatric surgery for adolescents. It was therfore possible to define its feasibility, potential complications and specific indications. This led to recommandations published by Health Authorities (HAS) in 2016. However, it seems imperative to continue monitoring these patients in order to improve their management, especially as the use of these surgical techniques becomes increasingly widespread. The Angers University Hospital is one of the leading hospitals when it comes bariatric surgery for adolescents through its use of gastric bands. The aim of this protocol is to update data on how effective this surgery is on weight loss and obesity-associated comorbidities, and to monitor medical, psychological and surgical complications associated with this treatment.
Study Type
OBSERVATIONAL
Enrollment
100
Weight-loss surgery, with the use of gastric banding
University Hospital of Angers
Angers, Maine Et Loire, France
RECRUITINGChange of weight parameters at 2 years compared to preoperative baseline
Evaluation of weight loss by weight (Kg), body mass index (BMI, Kg.m-2) and excess body weight (EBWL, %) changes
Time frame: 2 years
Changes of insulin resistance at 2 years
Evaluation of insulin resistance by measure of the HOMA index
Time frame: 2 years
Evaluation of dyslipidemia
Evaluation of lipid profile (cholesterol, triglycerides)
Time frame: 2 years
Evaluation of liver steatosis
Evaluation of liver steatosis and NAFLD on US exam and liver elastometry
Time frame: 2 years
Resolution of comorbidities associated with obesity
Clinical evaluation of the presence/absence of hypertension, sleep apnea, orthopedic disorders and polycystic ovary at two years, compared to Baseline characteristics
Time frame: 2 years
Monitoring of psychiatric profile
Clinical evaluation of the presence/absence of psychiatric disorders such as binge eating, depression, etc...
Time frame: 2 years
Evaluation of quality of life
Evaluation of obesity-related QOL by the use of the PedsQL scale
Time frame: 2 years
Evaluation of cosmetic satisfaction
Evaluation of the patient's level of satisfaction with regards to their surgical scar using the POSAS scale
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Time frame: 12 months postoperative
Surgical complications
Monitoring of the occurrence of surgical complications and their severity thanks to the Clavien-Dindo scale at each medical consultation
Time frame: 2 years