{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,12]],"date-time":"2026-07-12T01:36:51Z","timestamp":1783820211905,"version":"3.55.0"},"reference-count":15,"publisher":"Wiley","issue":"11","license":[{"start":{"date-parts":[[2019,11,5]],"date-time":"2019-11-05T00:00:00Z","timestamp":1572912000000},"content-version":"vor","delay-in-days":4,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Obesity"],"published-print":{"date-parts":[[2019,11]]},"abstract":"<jats:sec><jats:title>Objective<\/jats:title><jats:p>The use of laparoscopic sleeve gastrectomy (LSG) has risen steadily as a treatment for adolescents with obesity. This study determined whether obstructive biliary complications after rapid, LSG\u2010related weight loss occur similarly in adolescents compared with adults.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>Between 2010 and 2019, 309 patients underwent LSG. Demographics and clinical factors, including pre\u2010 and perioperative BMI and weight changes, were included.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Overall, 21 patients (7%) had post\u2010LSG biliary disease (BD), of whom 13 presented with acute pancreatitis (AP) and 8 with biliary colic. No differences existed between those with BD (<jats:italic>n<\/jats:italic>\u2009=\u200921) and the remaining cohort (<jats:italic>n<\/jats:italic>\u2009=\u2009288). Patients with BD were 16.3 (SD\u00a02.4) years of age at LSG, with a preoperative BMI of 49.3 (SD\u00a06.7) kg\/m<jats:sup>2<\/jats:sup>. Preoperative excess BMI loss was 7.1% (SD\u00a011.3%). An ultrasound revealed gallstones (71%) and sludge or crystals (12%). Eighteen patients underwent cholecystectomy between 4 weeks and 29 months after\u00a0LSG.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>Pediatric patients present with BD at a similar rate\u00a0after LSG compared with adults. The majority of adolescents, however, manifest with AP. Thus, pancreatitis should be high on the differential diagnosis list when evaluating post\u2010LSG abdominal symptoms. Additional studies are warranted to elucidate the pathophysiology of post\u2010LSG AP for prevention in the future because its etiology may or may not be solely related to BD.<\/jats:p><\/jats:sec>","DOI":"10.1002\/oby.22634","type":"journal-article","created":{"date-parts":[[2019,11,5]],"date-time":"2019-11-05T15:53:55Z","timestamp":1572969235000},"page":"1750-1753","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":4,"title":["Pattern of Biliary Disease Following Laparoscopic Sleeve Gastrectomy in Adolescents"],"prefix":"10.1002","volume":"27","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-5957-4277","authenticated-orcid":false,"given":"Jun","family":"Tashiro","sequence":"first","affiliation":[{"name":"Division of Pediatric Surgery Children's National Health System  Washington DC USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Arunachalam A.","family":"Thenappan","sequence":"additional","affiliation":[{"name":"Division of Pediatric Surgery Children's National Health System  Washington DC USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-8312-4647","authenticated-orcid":false,"given":"Evan P.","family":"Nadler","sequence":"additional","affiliation":[{"name":"Division of Pediatric Surgery Children's National Health System  Washington DC USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2019,11,5]]},"reference":[{"key":"e_1_2_5_2_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.mayocp.2016.09.017"},{"key":"e_1_2_5_3_1","doi-asserted-by":"publisher","DOI":"10.1056\/NEJMoa1502821"},{"key":"e_1_2_5_4_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.surg.2012.05.010"},{"key":"e_1_2_5_5_1","doi-asserted-by":"publisher","DOI":"10.1111\/cob.12181"},{"key":"e_1_2_5_6_1","doi-asserted-by":"publisher","DOI":"10.1007\/s11695-014-1337-4"},{"key":"e_1_2_5_7_1","doi-asserted-by":"publisher","DOI":"10.1038\/s41424-018-0045-0"},{"key":"e_1_2_5_8_1","doi-asserted-by":"publisher","DOI":"10.1007\/s11695-016-2302-1"},{"key":"e_1_2_5_9_1","first-page":"8398703","article-title":"Acute pancreatitis with splenic infarction as early postoperative complication following laparoscopic sleeve gastrectomy","volume":"2017","author":"Kalabin A","year":"2017","journal-title":"Case Rep 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