July 26, 2025Jul 26 Quote from "ESPES Manual of Pediatric Minimally Invasive Surgery" by Ciro Esposito, François Becmeur, Henri Steyaert, Philipp Szavay -"Patient selection is very important and should be a joint decision from a MDT consisting of paediatrician, surgeon, dietician and psychologist. Before decision-making, patients are thoroughly investigated to identify any underlying condition causing obesity, e.g. hypothyroidism or Prader-Willi syndrome (PWS). Investigations also look for any obesity-related co-morbidities. Blood investigations include full blood count, urea and electrolytes, liver function and metabolic profile to look for non-alcoholic hepatic steatosis or type 2 diabetes. A sleep study should also be performed to diagnose obstructive sleep apnoea. Apart from this, baseline anthropometric measurements, an ECG, echocardiogram, and ambulatory blood pressure monitoring are also performed."Quote from "ESPES Manual of Pediatric Minimally Invasive Surgery" by Ciro Esposito, François Becmeur, Henri Steyaert, Philipp Szavay -"When a patient has been deemed suitable for surgical intervention, a liver shrinking diet is recommended. It comprises of a 14-day period of high-protein, low-carbohydrate milkshake replacement for meals, which aims to reduce weight and size of the liver, making the laparoscopic access to the stomach easier."
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