A 2 years old child, having normal growth milestones weighs around 12 to 15 kgs. Since bariatric surgery for children is rare, this case can be termed as the "youngest bariatric surgery patient in India" in over a decade.
The doctors at the hospital said that the lower age limit of bariatric surgery in children is 12-15 years surgery but they had to conduct her surgery as a medical emergency.The girl child named, Khayati weighed normal at the time of birth and started gaining weight rapidly soon after birth and weighed 14 kg at six months.Her weight had increased over the next year and a half and reached 45 kgs when she was 2 years and 3 months.
Her condition worsened to an extent that she developed significant obstructive sleep apnoea with multiple pauses in her breathing during sleep and she was unable to sleep lying down on her back and was wheelchair bound since the age of 1 year and 10 months.
Dr Vivek Bindal who is the head of the department in Max Institute of Minimal Access of Bariatric and Robotic Surgery, said in a statement, " We had a detailed discussion with all the paediatricians, endocrinologists and the family along with a thorough review of literature before taking up the child."
Khayati underwent a laparoscopic gastric sleeve surgery or sleeve gastrectomy where a portion of her stomach was removed surgically.The surgery gives a feeling of fullness to patients and reduces their hunger which leads weight loss and significant improvements in health.
The doctors said that after the surgery, the child has been able to take enough liquids and soft diet without any problems.Associate Director of Paediatrics, HOD of Paediatrics Intensive Care, Dr Rajiv Uttam said, "While we anticipated non-invasive respiratory support, she fortunately did not show any respiratory compromise and she was quite comfortable, post op."
Dr Rajiv Uttam said that her sleep apnoea had became better within few days of the procedure and she could be shifted out in just four days post-surgery from ICU. For the post surgery care, she has been put on a special diet which will gradually decrease her weight while maintaining the child`s nutrition requirements.
Doctors said that she is expected to loose her weight by the next year and will grow up as a normal adult. He further added that she will be closely monitored by the clinical team and will also undergoing rehabilitation which will help her to build strength in her limbs so she can begin walking.