Skip to main content
Log in

A comparison of laparoscopic adjustable gastric banding in adolescents and adults

  • Original article
  • Published:
Surgical Endoscopy And Other Interventional Techniques Aims and scope Submit manuscript

Abstract

Background: Laparoscopic adjustable gastric banding (AGB) induces effective weight loss in adults, but its efficacy in adolescents has yet to be determined. Methods: Since 1996, data have been collected prospectively on all patients undergoing laparoscopic AGB procedures performed at our hospital by a single surgeon (G.F.). Patients <20 years old at surgery (adolescents) were compared with- patients >20 years old (adults) who were matched for sex and body mass index (BMI). Results: Seventeen adolescents with a median age of 17 years (range, 12–19) and a BMI of 42.2 kg/m2 (range, 30.3–70.5) were compared to 17 adults with a median age of 41 years (range, 23–70) and a BMI of 41.8 kg/m2 (range, 30.1–71.5). There were no significant differences between the adolescents and the adults in complications or weight loss. The BMI dropped to 30.1 kg/m2 (range, 22.6–39.4) in adolescents and 33.1 kg/m2 (range, 28.4–41.3) in adults at 2-month follow-up. Conclusion: Laparoscopic AGB is as effective in adolescents as it is in adults.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Similar content being viewed by others

References

  1. L Angrisani M Alkilani N Basso N Belvederesi F Campanile FD Capizzi C D’Atri L Di Cosmo SB Doldi F Favretti et al. (2001) ArticleTitleLaparoscopic Italian experience with the Lap-Band. Obes Surg 11 307–310 Occurrence Handle1:STN:280:DC%2BD38%2FhslSrtg%3D%3D

    CAS  Google Scholar 

  2. S Barlow W Dietz (1998) ArticleTitleObesity evaluation and treatment: Expert Committee recommendations. The Maternal and Child Health Bureau, Health Resources and Services Administration and the Department of Health and Human Services. Pediatrics 102 E29 Occurrence Handle1:STN:280:DyaK1czptlOltw%3D%3D Occurrence Handle9724677

    CAS  PubMed  Google Scholar 

  3. RI Berkowitz (1997) ArticleTitleTreating adolescent obesity. Adolesc Med 8 181–195 Occurrence Handle10360016

    PubMed  Google Scholar 

  4. RE Brolin RC Gorman LM Milgrim HA Kenler (1991) ArticleTitleMultivitamin prophylaxis in prevention of post–gastric bypass vitamin and mineral deficiencies. Int J Obes 15 661–668 Occurrence Handle1:STN:280:By2D1M7ht1E%3D Occurrence Handle1752727

    CAS  PubMed  Google Scholar 

  5. L Busetto G Segato F DeMarchi M Foletto M De Luca D Caniato F Favretti M Lise G Enzi (2002) ArticleTitleOutcome predictors in morbidly obese recipients of an adjustable gastric band. Obes Surg 12 83–92 Occurrence Handle10.1381/096089202321144649 Occurrence Handle11868305

    Article  PubMed  Google Scholar 

  6. TJ Cole MC Belizzi KM Flegal WH Dietz (2000) ArticleTitleEstablishing a standard definition for child overweight and obesity worldwide: international survey. BMJ 320 807–818 Occurrence Handle10.1136/bmj.320.7244.1240

    Article  Google Scholar 

  7. JB Dixon ME Dixon PE O’Brien (2001) ArticleTitlePre-operative predictors of weight loss at 1 year after LapBand surgery. Obes Surg 11 200–207 Occurrence Handle10.1381/096089201321577884 Occurrence Handle1:STN:280:DC%2BD3M3lsFWisw%3D%3D Occurrence Handle11355027

    Article  CAS  PubMed  Google Scholar 

  8. JB Dixon P O’Brien (2002) ArticleTitleHealth outcomes of severely obese type 2 diabetic subjects 1 year after laparoscopic adjustable silicone gastric banding. Diabetes Care 25 358–363

    Google Scholar 

  9. F Favretti GB Cadiere G Segato J Himpens L Busetto F De Marchi M Vertruyen G Enzi M De Luca M Lise (1997) ArticleTitleLaparoscopic adjustable silicone gastric banding (LapBand): how to avoid complications. Obes Surg 7 352–358 Occurrence Handle10.1381/096089297765555610 Occurrence Handle1:STN:280:DyaK1czpvVaqsw%3D%3D Occurrence Handle9730523

    Article  CAS  PubMed  Google Scholar 

  10. G Fielding M Rhodes LK Nathanson (1999) ArticleTitleLaparoscopic gastric banding for morbid obesity: surgical outcome in 335 cases. Surg Endosc 13 550–554 Occurrence Handle10.1007/s004649901038 Occurrence Handle1:STN:280:DyaK1M3nvVGgtg%3D%3D Occurrence Handle10347288

    Article  CAS  PubMed  Google Scholar 

  11. EF Foley PN Benotti BC Borlase J Hollingshead GL Blackburn (1992) ArticleTitleImpact of gastric restrictive surgery on hypertension in the morbidly obese. Am J Surg 163 294–297 Occurrence Handle1:STN:280:By2C2s7gs1Y%3D Occurrence Handle1539761

    CAS  PubMed  Google Scholar 

  12. RJ Greenstein L Martin K MacDonald W Chapman R McIntyre AC Wittgrove G Clark J Maher C Doherty D Munjal et al. (1999) ArticleTitleThe LapBand system as surgical therapy for morbid obesity: intermediate results of the USA, multicenter, prospective study. Surg Endosc 13 S1–S18 Occurrence Handle10.1007/s004649900885 Occurrence Handle10333873

    Article  PubMed  Google Scholar 

  13. RJ Greenstein G Rabner Y Taler (1994) ArticleTitleBariatric surgery versus conventional dieting in the morbidly obese. Obes Surg 4 16–23 Occurrence Handle10.1381/096089294765558845 Occurrence Handle10742758

    Article  PubMed  Google Scholar 

  14. S Guo C Huang L Maynard E Demerath B Towne WC Chimlea RM Siervogel (2000) ArticleTitleBody mass index during childhood, adolescence and young adulthood in relation to adult overweight and adiposity: the Fels Longitudinal Study . Int J Obes 24 1628–1635 Occurrence Handle10.1038/sj.ijo.0801461 Occurrence Handle1:STN:280:DC%2BD3M%2FosVeisQ%3D%3D

    Article  CAS  Google Scholar 

  15. S Klein (2001) ArticleTitleMedical management of obesity. Surg Clin North Am 81 1025–1038

    Google Scholar 

  16. A Must (1996) ArticleTitleMorbidity and mortality associated with elevated body weight in children and adolescent fatness. Am J Clin Nutr 63 455S–477S

    Google Scholar 

  17. A Must RS Strauss (1999) ArticleTitleRisks and consequences of childhood and adolescent obesity. Int J Obes Relat Metab Disord 23 S2–S11 Occurrence Handle10.1038/sj.ijo.0800852

    Article  Google Scholar 

  18. InstitutionalAuthorNameNational Institutes of Health Consensus Development Conference (1992) ArticleTitleGastrointestinal surgery for severe obesity. Am J Clin Nutr 55 6158–6195

    Google Scholar 

  19. PE O’Brien WA Brown A Smith PJ McMurrick M Stephens (1999) ArticleTitleProspective study of a laparoscopically placed adjustable gastric band in the treatment of morbid obesity. Br J Surg 85 113–118 Occurrence Handle10.1046/j.1365-2168.1999.00964.x

    Article  Google Scholar 

  20. TL Parsons C Power S Logan CD Summerbell (1999) ArticleTitleChildhood predictors of adult obesity—a systematic review. Int J Obes Relat Metab Disord 8 S1–S107

    Google Scholar 

  21. BM Popkin JR Udry (1998) ArticleTitleAdolescent obesity increases significantly in second and third generation US immigrants: the National Longitudinal Study of Adolescent Health. J Nutr 128 701–708 Occurrence Handle1:CAS:528:DyaK1cXit1Wru7k%3D Occurrence Handle9521631

    CAS  PubMed  Google Scholar 

  22. WJ Pories MS Swanson KG MacDonald SB Long PG Morris BM Brown HA Barakat R deRamon G Israel JM Dolezal et al. (1995) ArticleTitleWho would have thought it? An operation proves to be the most effective therapy for adult-onset diabetes mellitus. Ann Surg 222 339–352 Occurrence Handle1:STN:280:ByqH3cjps1I%3D Occurrence Handle7677463

    CAS  PubMed  Google Scholar 

  23. C Power JK Lake TJ Cole (1997) ArticleTitleMeasurement and long-term health risks of child and adolescent fatness. Int J Obes Relat Metab Disord 21 507–526 Occurrence Handle10.1038/sj.ijo.0800454 Occurrence Handle1:STN:280:ByiA2s%2FhtVA%3D Occurrence Handle9226480

    Article  CAS  PubMed  Google Scholar 

  24. PR Schauer S Ikramuddin (2001) ArticleTitleLaparoscopic surgery for morbid obesity. Surg Clin North Am 81 1145–1179

    Google Scholar 

  25. A Szold S Abu-Abeid (2002) ArticleTitleLaparoscopic adjustable silicone gastric banding for morbid obesity. Surg Endosc 16 230–233 Occurrence Handle10.1007/s004640080187 Occurrence Handle1:STN:280:DC%2BD383jtVWrsQ%3D%3D Occurrence Handle11967669

    Article  CAS  PubMed  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to G. Fielding.

Rights and permissions

Reprints and permissions

About this article

Cite this article

Dolan, K., Fielding, G. A comparison of laparoscopic adjustable gastric banding in adolescents and adults . Surg Endosc 18, 45–47 (2004). https://doi.org/10.1007/s00464-003-8805-6

Download citation

  • Received:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s00464-003-8805-6

Keywords

Navigation