Laparoscopic gastric banding in adolescents

Avraham Yitzhak, Solly Mizrahi, Eliezer Avinoach

Research output: Contribution to journalReview articlepeer-review

60 Scopus citations

Abstract

Background: Adolescent obesity has undesirable short- and long-term effects. Laparoscopic adjustable gastric banding has been considered a procedure of choice for adolescent morbid obesity. We retrospectively evaluated our single-team banding experience in the adolescent population. Methods: We reviewed the medical and clinic records and conducted telephone questionnaire interviews, to evaluate the results of banding using the Swedish adjustable gastric band (SAGB®) in the 60 adolescents at our institution who had been followed ≥3 years. Results: An average of 39.5 months of follow-up has been conducted In the patients who have been followed ≥3 years. Mean age at the time of the operation was 16 years (9 to 18). 60% reported a family history of obesity. Associated co-morbidities included hypertension, diabetes, sleep apnea and asthma. Mean preoperative BMI was 43 (35-61) kg/m2. Mean postoperative BMI after 39.5 months follow-up was 30 (20-39) kg/m2. No co-morbidities have existed after the operation. 6 patients (10%) underwent band repositioning and 2 patients underwent band removal, due to slippage; 7 of the 8 slippages occurred with an earlier perigastric technique which transgressed lesser sac. There was no mortality. Average postoperative hospital stay was 24 hours. Conclusions: Gastric banding in adolescents is a safe, satisfactory and reversible weight reduction procedure.

Original languageEnglish
Pages (from-to)1318-1322
Number of pages5
JournalObesity Surgery
Volume16
Issue number10
DOIs
StatePublished - 1 Oct 2006
Externally publishedYes

Keywords

  • Adolescent
  • Laparoscopic gastric banding
  • Morbid obesity
  • Pars flaccida

ASJC Scopus subject areas

  • Surgery
  • Endocrinology, Diabetes and Metabolism
  • Nutrition and Dietetics

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