Medicine (Baltimore) 2015 Dec;94(49):e2221
From 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).
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.