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Bariatric Bypass Surgery to Resolve Complicated Childhood Morbid Obesity: Case Report Study
Abduh Elbanna1, Mohammed Tag Eldin, Mohammad Fathy
1From the Laparoscopic and Bariatric Surgery Department, Al Azhar School of Medicine, Al Hussein University Hospital (AE, M Amer, OO, MF, MTE, AY); Pediatric Department, Misr International School of Medicine, Cairo (MAE); Biochemistry Department, Faculty of Pharmacy, Suez Canal University, Ismailia (SB); Internal Medicine Department, Al Azhar school of Medicine, Asuit, Egypt (KS); Cardiovascular Medicine and Pharmacology Departments, Faculty of Medicine and Health Sciences, United Arab Emirates University, United Arab Emirates (AAE, AS); Pulmonology and ICU Departments, Aswan School of Medicine, Aswan University, Aswan (SB); Hepatology Department, National Liver Institute, Minoufiya University, Minoufiya (M Amer); Internal Medicine Department, Al Azhar school of Medicine, Cairo, Egypt (M Alboraie); General and Laparoscopic Surgery Department, Al Azhar School of Medicine, Al Hussein University Hospital, Cairo (AR); and GIT & Hepatology Department, Al Azhar School of Medicine, Asuit Branch, Asuit, Egypt (AEAE).
Insights
This study introduces a new bariatric surgery combining fundal resection and bypass for severe pediatric obesity. The novel Elbanna technique offers a potential solution for complex cases unresponsive to other treatments.
Area of Science:
- Pediatric Surgery
- Bariatric Surgery
- Public Health
Background:
- Childhood obesity is a critical global health issue with significant long-term risks.
- Existing treatments, including laparoscopic sleeve gastrectomy (LSG), have limitations in efficacy and safety for pediatric cases.
- Societal prioritization of childhood obesity as a healthcare problem remains insufficient.
Observation:
- A 13-year-old female with morbid obesity secondary to Legg-Calvé-Perthes disease was treated.
- A novel bariatric procedure, the Elbanna technique, was applied.
- This technique integrates fundal resection with surgical bypass.
Findings:
- The Elbanna technique represents a novel surgical approach for pediatric morbid obesity.
- This combined fundal resection and bypass method was utilized in a complex pediatric case.
- The procedure was performed on a patient with associated Legg-Calvé-Perthes disease.
Implications:
- This novel bariatric surgery may offer an alternative for pediatric patients with severe obesity who have failed other interventions.
- Further research is warranted to evaluate the long-term outcomes and safety of this technique.
- Increased focus on pediatric obesity as a healthcare priority is essential.
Abstract:
Children obesity has become one of the most important public health problems in many countries worldwide. Although the awareness of childhood obesity as a modifiable health risk is high, but many societies do not prioritize this issue as a health care problem, which may lead to comorbidities and even premature death. Despite the rising interest in bariatric surgery for children, only laparoscopic sleeve gastrectomy (LSG) is being considered in resolving childhood obesity who failed other dietary or drug therapies; however many of LSG procedures failed to reduce the weight in children or resulted in complications postsurgery.Here, we present a novel bariatric procedure to clue out a female child 13 years old presented with Legg-Calvé-Perthes disease-associated morbid obesity. The surgical bariatric technique applied both fundal resection and surgical bypass in pediatric obesity using the Elbanna novel bariatric technique.Bariatric surgical bypass may be considered in complicated-childhood cases who failed all other options.
