Preparation of a severely obese adolescent for significant and long-term weight loss: An illustrative case

Andrew J. Kruger*, Kathleen B. Hrovat, Stavra A. Xanthakos, Thomas H. Inge

*Corresponding author for this work

Research output: Contribution to journalArticlepeer-review

4 Scopus citations

Abstract

For severely obese patients planning bariatric surgery, many surgeons advise pre-operative weight loss which can be difficult for some to achieve. We report a 16-year-old male who was referred for weight loss surgery in a very late stage of severe obesity with a weight and BMI of 310 kg and 93 kg/m 2, respectively. He also suffered from obstructive sleep apnea and hypertension. To prepare him for laparoscopic gastric bypass, a strict pre-operative nutritional intervention with inpatient and outpatient phases was designed. He lost 22 kg pre-operatively and an additional 86 kg by 67 months post-operatively, representing a 35 % total reduction in BMI. This case illustrates the feasibility and value of a defined pre-operative dietary intervention to effectively manage the weight of an adolescent referred late in the progression of severe obesity.

Original languageEnglish (US)
Pages (from-to)835-839
Number of pages5
JournalPediatric Surgery International
Volume29
Issue number8
DOIs
StatePublished - Aug 2013
Externally publishedYes

Keywords

  • Bariatric surgery
  • Diet
  • Gastric bypass

ASJC Scopus subject areas

  • Surgery
  • Pediatrics, Perinatology, and Child Health

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