Reversal of morbid obesity in adolescents combining laparoscopic sleeve gastrectomy with a multidisciplinary treatment program

Received: 12-Feb-2021 Accepted Date: Mar 01, 2021; Published: 08-Mar-2021

Citation: None

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Abstract

Obesity has become one of the most important public health problems in children and adolescents. Standard treatment for obesity in adolescents repeatedly shows only modest weight lost and surgery has become the last option for many morbidly obese adolescents. Laparoscopic sleeve gastrectomy (LSG) is a bariatric surgery that has shown good results with a relatively low rate of complications in morbidly obese adults. Currently, data on the efficiency of this procedure in the pediatric age is still scarce

Introduction

The shortage of giver organs is broadly known and with an enormous hole between accessible contributor organs and the quantity of patients needing a strong organs for relocate. The circumstance is deteriorating with enhancements in clinical consideration making more individuals contender for relocate and less contributor hearts accessible for relocate. Pediatric heart transplantation is confronted with something very similar challenges as found in the grown-up populace, which incorporate the danger of dismissal, need for immunosuppression treatment and the danger of diseases. Notwithstanding these difficulties, there is a 20% death rate while on the holding up list and the practically inescapable requirement for future retransplantation past the initial 20 years of life (1). Pediatric patients grow out of relocated [1-2]

Tissue designing as a logical order is very grounded and there are fantastic surveys on this point (5). Dr. Robert Langer is considered to the originator of the field as we probably are aware it today. In 1988, Dr. Langer effectively bioengineered living tissue, by refined essential rat hepatocytes inside 3-dimensional networks manufactured utilizing polyglactin, polyorthoester and polyanhydride (6). This was the principal exhibit of refined essential cells inside 3-dimensional networks to bioengineer utilitarian tissue and set up the establishment for the field of tissue designing Pediatric heart medical procedure stays testing. Each case is interesting and unique and requires distinctive reparative systems.

The pediatric heart specialist is confronted with a difficult errand of working on little hearts with extreme formative anomalies. New devices need to be created to prepare the pediatric heart specialist with novel treatment choices to handle these complex careful situations. Tissue designing systems are intended to bioengineer 3D cardiovascular patches, ventricles, Fontan siphons and entire hearts and give another age of novel devices for pediatric heart medical procedure. Cycle enhancement combined with new creation innovations are needed to push this field ahead to the place of clinical usage. Nonetheless, the potential is gigantic and tissue designing adva

1. They should know how to handle an infant and a child patient to perform high quality paedodontic service.
2. A paedodontist should assure the parents of the child patient that the money which they are spending is not a wastage but a wise investment for future dental health of the child.
3. A paedodontist should have a good relationship with the paediatrician , so that they can refer the child patient to paediatrician in case of any medical problems.
4. If paediatrician find a child with any dental problem, they will refer them to the paedodontist and that will be helpful for the child also. [3]

Responsibilities towards community:

1. Paedodontist should think not only about the children coming to their clinic but also about other children who are unable to afford the treatment. They should try for the betterment of oral health of all children of the community.
2. There should be an earnest desire for better dental health of children. The dentist should educate the children and parents about dental health.
3. Children Dental Health Day should be celebrated once or twice a year
4. Children should be taught proper food habits and about fixed time for meals.
5. If a child is living in a fluoride deficient area he/she should be advised fluoride toothpaste [4]

Conclusion

It is concluded that the main aim of a paedodontics is to prevention of diseases because it can be very effectively implemented in younger age groups. General and dental health of a child should be visualized as a whole and dental health of the child should always be improved in accordance with their genral heath.

REFERENCES

1. 1. Bondy J, Berman S. Glazner J, Lezotte D. Direct expenditures related to otitis media diagnosis: Extrapolations from a pediatric Medicaid cohort. Pediatrics 2000;105:72-9.
2. 2. Auinger P, Lanphear BP, Kalkwarf HK, Mansour ME. Trends in otitis media among children in the United States. Pediatrics 2003;112:514- 20.
3. 3. Teele DW, Klein JO, Rosner B. Epidemiology of otitis media during the fi rst seven years of life in children in greater Boston: A prospective, cohort study. J Infect Dis 1989;160:83-94.
4. 4. Paradise JL. Otitis media in infants and children. Pediatrics 1980;65:917-43.