In a posh and high-risk bariatric surgical procedure case, a 16-year-old boy from Delhi, weighing roughly 275 kg, underwent a profitable laparoscopic sleeve gastrectomy at Sir Ganga Ram Hospital. On the time of admission, {the teenager} was affected by extreme respiratory difficulties, obstructive sleep apnea, and intensive pores and skin infections.
Attributable to excessive weight problems, {the teenager} couldn’t match into a regular automobile and needed to be transported to the hospital in a ‘Matador’ van. Hospital examinations revealed extreme obstructive sleep apnea and widespread pores and skin infections. He was stored within the Pediatric Intensive Care Unit (PICU) for roughly two weeks for stabilisation and therapy of respiratory issues.
Along with his BMI reaching almost 100, a complete multidisciplinary analysis was carried out previous to surgical procedure. A workforce of round 20 specialists, spanning pediatric crucial care, bariatric surgical procedure, pediatric gastroenterology, pediatric cardiology, anesthesiology, and different disciplines, assessed the crucial dangers related to the surgical procedure, anesthesia, affected person positioning, the laparoscopic process, and post-operative respiratory care.
Following detailed discussions with the household, the workforce concluded that bariatric surgery was the most suitable choice accessible to deal with the acute weight problems and its related issues. The surgical procedure was carried out by Dr Daksh Sethi, Dr Sudhir Kalhan, Dr Mukund Khetan, and Dr Suviraj John from the Institute of Minimal Entry, Metabolic, and Bariatric Surgical procedure at Sir Ganga Ram Hospital, New Delhi. Regardless of technical challenges arising from the affected person’s extreme weight and physique habitus, the workforce efficiently accomplished the laparoscopic sleeve gastrectomy.
Dr Daksh Sethi, Lead Bariatric Surgeon at Sir Ganga Ram Hospital, mentioned, “This was not a routine bariatric surgical procedure. Each step needed to be meticulously deliberate as a result of affected person’s age, weight, and extreme sleep apnea. Our major goal was to medically stabilise him for the surgical procedure and be sure that a workforce of specialists was ready to deal with any potential challenges which may come up throughout or after the process.”
The multidisciplinary workforce performed an important function in stabilising {the teenager} prior to the surgery and managing his care throughout and after the process. Dr Anil Sachdev, Head of the Division of Pediatric Vital Care, performed a pivotal function within the affected person’s optimisation and intensive care administration. The anesthesia workforce comprised Dr Rakesh Saxena, Dr Shikha Sharma, and Dr Savitar Malhotra. Dr Nishant Wadhwa, a pediatric gastroenterologist, carried out an higher gastrointestinal endoscopy earlier than the surgical procedure, whereas Dr Neeraj Aggarwal, a pediatric heart specialist, carried out the cardiac evaluation.
The laparoscopic sleeve gastrectomy was efficiently accomplished, and {the teenager} made restoration. He was discharged from the hospital simply three days after the surgical procedure.
The preliminary outcomes, noticed roughly two months post-surgery, have been encouraging. His weight has dropped from round 275 kg to 223 kg, a discount of almost 50 kg. Nonetheless, the treating workforce states that the aim is just not merely weight reduction, however the enchancment of the affected person’s long-term well being, mobility, and high quality of life.
Dr Sudhir Kalhan, Chairman of the Institute of Minimal Entry, Metabolic, and Bariatric Surgical procedure at Sir Ganga Ram Hospital, mentioned, “For a affected person battling extreme weight problems at such a younger age, our precedence was not simply instant weight reduction, however bettering his long-term well being and high quality of life. His progress over the previous two months has been extraordinarily encouraging, and we hope this marks the start of a more healthy and extra energetic life for him.”
The long-term aim is to realize sustained weight reduction and mitigate obesity-related health risks. These embrace sleep apnea, metabolic and cardiovascular issues, mobility points, and a diminished high quality of life.
Dr Daksh Sethi added, “The choice to carry out bariatric surgical procedure on such a younger affected person is rarely taken evenly. The target goes past weight reduction; it’s about reworking the affected person’s well being trajectory and enabling him to steer a extra energetic and wholesome life.”
{The teenager} continues to be monitored via common multidisciplinary follow-ups and a structured weight-management program geared toward guaranteeing sustained weight reduction, improved mobility and higher long-term well being.
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