الفهرس 
Clinical features seen in metabolic syndrome areOnly 14 pages are availabe for public view
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Abstract
Obesity has multiple harmful effects on different body systems and an impact on self-esteem, particularly in the early adolescent period, needs to be seriously addressed as it leads to risky behavior and can significantly affect the quality of life. Now it is clear that, bariatric surgery plays a role in alleviating the risks of these conditions as well as improving self-esteem and consequently quality of life. In the present study, we conducted clinical and metabolic evaluations of obese adolescents with metabolic syndrome before and after LSG for a period of at least 12 months. Our study included 20 patients; 6 males and 14 females. The age of our patients ranged from 12 to 19 year old with the mean age was 16.43 ± 2.32. The mean preoperative weight and height of patients were 132.68 kg ± 32.82 and 163.68 cm ±11.05 respectively whereas mean preoperative BMI was 48.90 kg/m2 ± 8.89. The mean preoperative waist circumference (WC) was 130.5 cm ±19.14 Preoperatively, 13 patients were hypertensive, 16 patient had Fatty Liver, 12 patient with elevated TG, 4 patients with elevated LDL, 9 patients with low HDL , one patient with elevated Cholesterol (dyslipidemia), 5 patients with PCO, 13 patients were Pre-diabetic(fasting blood sugar >100 mg) and 9 with sleep apnea syndrome (SAS). All patients underwent laparoscopic sleeve gastrectomy with the average operation (anesthesia and surgery) time was 101.75 minutes ± 13.89. There were no open conversions or operative complications. The mean hospital stay was four days (considering that patients were admitted one day before the surgery), without readmissions or deaths. No major post-operative complications or mortality was reported in this series. Even most minor complications were transient and ended without intervention. One year postoperatively, the average EWL was 54.11 kg, the average EWL% was 74.08, the average WL% was 40.07, The average BMI loss was 19.89, The average BML% was 94.64, the mean WC was 89.95 cm ± 8.30, the average postoperative WC loss was 39.6 cm ± 13.1 and finally we had 6 non-obese patients (30%) (BMI less than or equal 85th percentile). 6 months postoperatively, 5 patients were hypertensive, 9 patients had Fatty Liver, 4 patients with elevated TG, one patient with elevated LDL, 2 with low HDL , 2 patients with PCO, 3 patients were Pre-diabetic(fasting blood sugar >100 mg) and 2 patients with sleep apnea syndrome (SAS). One year postoperatively, only 4 patients had Fatty Liver with no other comorbidities.