Laparoscopic Gastric Banding in Morbidly Obese Adolescents |
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Authors: | Kevin Dolan Lisa Creighton George Hopkins George Fielding |
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Institution: | (1) Department of Surgery, Royal Brisbane Hospital, Queensland, Australia;(2) Department of Surgery, Royal Brisbane Hospital, Queensland, Australia;(3) Department of Surgery, Royal Brisbane Hospital, Queensland, Australia;(4) Department of Surgery, Royal Brisbane Hospital, Queensland, Australia |
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Abstract: | Background: 4% of adolescents in the U.S.A. are obese, 80% of whom will become obese adults. Obesity in adolescence is associated
with increased mortality and morbidity in adulthood. Is laparoscopic adjustable silicone gastric banding a safe and effective
method of weight loss in morbidly obese adolescents? Methods: Since 1996, data has been prospectively collected on all patients
undergoing laparoscopic adjustable gastric banding (LAGB) by a single surgeon. Patients are reviewed at 6 and 12 weeks following
surgery,then at 3 monthly intervals.Weight loss is measured in absolute terms, reduction in body mass index (BMI) and as percentage
of excess weight loss. Results: 17 patients with a median age of 17 (12 to 19) years underwent LAGB. Median follow-up was
25 (12 to 46) months. 2 complications occurred, 1 slipped band and 1 leaking port. BMI fell from a preoperative median of
44.7 to 30.2 kg/m2 at 24 months following surgery, corresponding to a median loss of 35.6 kg or 59.3% of excess weight. 13 of 17 patients (76.5%)
lost at least 50% of their excess weight, and 9 of 11 patients (81.8%) had a BMI <35 kg/m2 at 24 months following surgery. Conclusion: LAGB is a safe and effective method of weight loss in morbidly obese adolescents,
at least in the medium term. Its role in preventing obesity and obesity-related disease in adulthood remains to be determined
as part of our long-term study. |
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Keywords: | MORBID OBESITY ADOLESCENTS BARIATRIC SURGERY GASTRIC BANDING LAPAROSCOPY LAP-BAND |
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