Abstract
Purpose
Children and adolescents who fail to lose weight through diet and exercise programs
have been offered weight loss surgery for several years. We report our early results
on laparoscopic adjustable gastric banding (LAGB) in 100 teenagers.
Methods
Candidates for surgery underwent rigorous assessment for medical eligibility, compliance,
and psychological well-being. Patients who met criteria and were approved by our team
were offered LAGB. Postoperatively, patients were followed monthly until steady weight
loss was achieved, then every 3 months thereafter.
Results
One hundred patients aged 14 to 19 years underwent LAGB. Preoperative average weight
was 136.7 kg, and median body mass index was 48.7. Comorbid medical conditions were
common. Five reoperations were performed for port site bleeding, hiatal hernia repair,
possible intestinal obstruction, and port slippage. Eighty-seven patients were followed
for a minimum of 6 months. Average weight loss at 6 months was 12.4 (range, 33.2 to
16.2) kg, and average change in body mass index was 4.4 (range, 11.8 to −5.6).
Conclusion
Laparoscopic adjustable gastric banding may be performed safely in adolescents, and
short-term results suggest that LAGB may serve as an important tool to help them lose
weight.
Key words
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References
- National Center for Health Statistics (NCHS). National Health and Nutrition Examination Survey Data.U.S. Department of Health and Human Services, Centers for Disease Control and Prevention, Hyattsville, MD2008
- Randomized trial of a multifaceted commercial weight loss program.Obesity. 2007; 15: 939-947
- Vertical banded gastroplasty: assessment of efficacy.Surgery. 1985; 98: 700-707
- Laparoscopic gastric banding in morbidly obese adolescents.Obes Surg. 2003; 13: 101-104
- Best practice updates for pediatric/adolescent weight loss surgery.Obesity. 2009; 17: 901-910
- Laparoscopic adjustable gastric banding: surgical technique.J Laparoendosc Adv Surg Tech A. 2003; 13: 257-263
- Lifestyle intervention in obese children is associated with a decrease of the metabolic syndrome prevalence.Atherosclerosis. 2009; 207: 174-180
- Tracking of body mass index in children in relation to overweight in adulthood.Am J Clin Nutr. 1999; 70: 145S-148S
- Bariatric surgery for severely overweight adolescents: concerns and recommendations.Pediatrics. 2004; 114: 217-223
- Gastric banding for morbid obesity: initial experience with a new adjustable band.Obes Surg. 1993; 3: 369-374
- Laparoscopic banding: selection and technique in 830 patients.Obes Surg. 2002; 12: 385-390
- Bariatric surgery in adolescence.J Pediatr Surg. 2003; 38: 1379-1382
- Adjustable gastric banding surgery in morbidly obese adolescents: experiences with eight patients.Int J Obes Relat Metab Disord. 2004; 28: S42-S45
- Obese teenagers treated by Lap-Band System: the Italian experience.Surgery. 2005; 138: 877-881
- Laparoscopic gastric banding in adolescents.Obes Surg. 2006; 16: 1318-1322
- Laparoscopic adjustable gastric banding in adolescents: the Austrian experience.Obes Surg. 2006; 16: 1062-1067
- Short-term outcome in the first 10 morbidly obese adolescent patients in the FDA-approved trial for laparoscopic adjustable gastric banding.J Pediatr Gastroenterol Nutr. 2007; 45: 465-473
- Laparoscopic adjustable gastric banding in adolescent: safety and efficacy.J Pediatr Surg. 2007; 42: 894-897
- Laparoscopic adjustable gastric banding in severely obese adolescents: a randomized trial.JAMA. 2010; 303: 519-526
- An update on 73 US obese pediatric patients treated with laparoscopic adjustable gastric banding: comorbidity resolution and compliance data.J Pediatr Surg. 2008; 43: 141-146
- A prospective trial for laparoscopic adjustable gastric banding in morbidly obese adolescents: an interim report of weight loss, metabolic and quality of life outcomes.J Pediatr Surg. 2010; 45: 74-78
- Laparoscopic adjustable gastric banding for morbidly obese adolescents affects android fat loss, resolution of comorbidities, and improved metabolic status.J Am Coll Surg. 2009; 209: 638-644
- A comparison of laparoscopic adjustable gastric banding in adolescents and adults.Surg Endosc. 2004; 18: 45-47
- Efficacy of laparoscopic sleeve gastrectomy (LSG) as a stand-alone technique for children with morbid obesity.Obes Surg. 2008; 18: 1047-1049
Article info
Publication history
Accepted:
September 30,
2010
Received:
September 22,
2010
Footnotes
Papers Presented at the 41st Annual Meeting of the American Pediatric Surgical Association, Orlando, FL, May 16-19, 2010.
Identification
Copyright
© 2011 Elsevier Inc. Published by Elsevier Inc. All rights reserved.
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Access this article on ScienceDirectLinked Article
- Erratum to "Laparoscopic adjustable gastric banding in adolescents: short-term result"Journal of Pediatric SurgeryVol. 46Issue 4
