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Biopsychosocial Outcomes of Laparoscopic Adjustable Gastric Banding in Adolescents: a Systematic Review of the Literature

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Abstract

Adolescent obesity is a significant global health challenge. Severely obese adolescents commonly experience one or more serious medical comorbidities, such as type 2 diabetes mellitus and hypertension as well as psychosocial comorbidities such as depression, disordered eating behaviour, anxiety and low self-esteem. The aims of this review are to examine the literature on biopsychosocial (e.g. weight loss, medical comorbidities, mental health, and complications) outcomes of adolescent bariatric surgery and to identify areas where current data are deficient and a need for further research is indicated. A systematic review was conducted to examine the biopsychosocial outcomes of adolescent gastric banding. Eleven studies published before May 2013 examining outcomes of adolescent laparoscopic adjustable gastric banding (LAGB) surgery were identified. Available reported data indicate that LAGB surgery was effective in achieving significant weight loss. There is also evidence of the resolution of medical comorbidities; however, reporting of medical comorbidities assessment criteria is limited. Limited consideration was given to the psychosocial outcomes of LAGB surgery. The psychosocial outcomes of adolescent LAGB are not well researched. The current literature on adolescent LAGB is limited by a focus on weight loss and biomedical outcomes. There is currently little understanding of the behavioural, emotional or social factors that influence adolescents’ experience of LAGB surgery. Further research is required to examine the specific psychosocial needs and experiences of adolescent LAGB patients, so appropriate treatment approaches may be developed to ensure optimal outcomes for adolescents from LAGB surgery.

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References

  1. Obesity the Global Epidemic. [cited 2013 15 July]; Available from: www.iaso.org/iotf/obesity/obesitytheglobalepidemic.

  2. Deckelbaum RJ, Williams CL. Childhood obesity: The health issue. Obes Res. 2001;9:239–43.

    Article  Google Scholar 

  3. Schwimmer JB, Burwinkle TM, Varni JW. Health-related quality of life of severely obese children and adolescents. JAMA J Am Med Assoc. 2003;289(14):1813–9.

    Article  Google Scholar 

  4. Zeller MH et al. Psychosocial functioning improves following adolescent bariatric surgery. Obesity. 2009;17(5):985–90.

    Article  PubMed Central  PubMed  Google Scholar 

  5. Neumark-Sztainer D et al. Weight-teasing among adolescents: correlations with weight status and disordered eating behaviors. Int J Obes. 2002;26:123–31.

    Article  CAS  Google Scholar 

  6. Britz B et al. Rates of psychiatric disorders in a clinical study group of adolescents with extreme obesity and in obese adolescents ascertained via a population based study. Int J Obes. 2000;24:1707–14.

    Article  CAS  Google Scholar 

  7. Lobstein T, Baur L, Uauy R. Obesity in children and young people: a crisis in public health. Obes Rev. 2004;5:4–85.

    Article  PubMed  Google Scholar 

  8. Murtagh J, Dixey R, Rudolf M. A qualitative investigation into the levers and barriers to weight loss in children: opinions of obese children. Arch Dis Child. 2006;91(11):920–3.

    Article  CAS  PubMed Central  PubMed  Google Scholar 

  9. Stewart L et al. Parents’ journey through treatment for their child’s obesity: a qualitative study. Arch Dis Child. 2008;93:35–9.

    Article  CAS  PubMed  Google Scholar 

  10. Luttikhuis HO, et al. Interventions for treating obesity in children. Cochrane Database of Syst Rev, 2009. 1.

  11. Tsai WS, Inge TH, Burd RS. Bariatric surgery in adolescents. Arch Pediatr Adolesc Med. 2007;161:217–21.

    Article  PubMed  Google Scholar 

  12. Aikenhead A, Knai C, and Lobstein T. Do surgical interventions to treat obesity in children and adolescents have long- versus short-term advantages and are they cost-effective?, 2012, World Health Organization.

  13. Pallati P et al. Trends in adolescent bariatric surgery evaluated in UHC database collection. Surg Endosc. 2012;26(11):3077–81.

    Article  PubMed  Google Scholar 

  14. Black JA, et al. Bariatric surgery for obese children and adolescents: a systematic review and meta-analysis. Obes Rev, 2013.

  15. Treadwell JR, Sun F, Schoelles K. Systematic review and meta-analysis of bariatric surgery for pediatric obesity. Ann Surg. 2008;248(5):763–76.

    Article  PubMed  Google Scholar 

  16. Hofmann AD and Greydanus DE, Adolescent Medicine 1989, East Norwalk, Connecticut: Appleton & Lange.

  17. Vazzana AD. Psychological outcomes of bariatric surgery in morbidly obese adolescents. Prim Psychiatry. 2008;15(8):68–73.

    Google Scholar 

  18. Järvholm K, Olbers T, Marcus C, et al. Short-term psychological outcomes in severely obese adolescents after bariatric surgery. Obesity. 2012;20(2):318–323. doi:10.1038/oby.2011.310.

  19. Loux TJ, Haricharan RN, Clements RH, et al. Health-related quality of life before and after bariatric surgery in adolescents. J Pediatr Surg. 2008;43(7):1275–1279. doi:10.1016/j.jpedsurg.2008.02.078.

  20. Zeller MH, Modi AC, Noll JG, Long JD, et al. Psychosocial functioning improves following adolescent bariatric surgery. Obesity. 2009;17(5):985–990. doi:10.1038/oby.2008.644.

  21. Shield JPH, Crowne E, Morgan J. Is there a place for bariatric surgery in treating childhood obesity? Arch Dis Child. 2008;93(5):369–72.

    Article  CAS  PubMed  Google Scholar 

  22. Liberati A et al. The PRISMA statement for reporting systematic reviews and meta-analyses of studies that evaluate health care interventions: explanation and elaboration. Ann Intern Med. 2009;15(4):W-65.

    Google Scholar 

  23. Silva GMM et al. Effect of Laparoscopic Adjustable Gastric Banding on Modifiable Cardiovascular Risk Factors in Extremely Obese Adolescents. Obes Surg. 2012;22(6):991–4.

    Article  PubMed  Google Scholar 

  24. Silberhumer GR et al. Long-term results after laparoscopic adjustable gastric banding in adolescent patients: follow-up of the Austrian experience. Surg Endosc Interv Tech. 2011;25(9):2993–9.

    Article  Google Scholar 

  25. Angrisani L et al. Obese teenagers treated by Lap-Band System: the Italian experience. Surgery. 2005;138(5):877–81.

    Article  CAS  PubMed  Google Scholar 

  26. Fielding GA, Duncombe JE. Laparoscopic adjustable gastric banding in severely obese adolescents. Surg Obes Relat Dis. 2005;1(4):399–407.

    Article  PubMed  Google Scholar 

  27. O’Brien PE et al. Laparoscopic Adjustable Gastric Banding in Severely Obese Adolescents A Randomized Trial. JAMA J Am Med Assoc. 2010;303(6):519–26.

    Article  Google Scholar 

  28. Abu-Abeid S et al. Bariatric surgery in adolescence. J Pediatr Surg. 2003;38(9):1379–82.

    Article  PubMed  Google Scholar 

  29. Yitzhak A, Mizrahi S, Avinoach E. Laparoscopic gastric banding in adolescents. Obes Surg. 2006;16(10):1318–22.

    Article  PubMed  Google Scholar 

  30. Holterman AX et al. 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(1):74–9.

    Article  PubMed  Google Scholar 

  31. Nadler EP et al. 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(5):638–44.

    Article  PubMed  Google Scholar 

  32. Zitsman JL et al. Laparoscopic adjustable gastric banding in adolescents: short-term results. J Pediatr Surg. 2011;46(1):157–62.

    Article  PubMed  Google Scholar 

  33. Ware Jr JE, Sherbourne CD. The MOS 36-Item Short-Form Health Survey (SF-36): I. Conceptual Framework and Item Selection. Med Care. 1992;30(6):473–83.

    Article  PubMed  Google Scholar 

  34. Oria H. The BAROS and the Moorehead-Ardelt quality of life questionnaire. Obes Surg. 2003;8:487–99.

    Article  Google Scholar 

  35. Landgraf J, Abetz L, Ware JE. The CHQ User’s Manual. Boston, MA: The Health Institute, New England Medical Center; 1996.

    Google Scholar 

  36. Varni JW, Seid M, Kurtin PS. PedsQL 4.0: reliability and validity of the Pediatric Quality of Life Inventory version 4.0 generic core scales in healthy and patient populations. Med Care. 2001;39(8):800–12.

    Article  CAS  PubMed  Google Scholar 

  37. Dillard BE et al. Initial txperience with the adjustable gastric band in morbidly obese US adolescents and recommendations for further investigation. J Pediatr Gastroenterol Nutr. 2007;45(2):240–6.

    Article  PubMed  Google Scholar 

  38. Colquitt JL, et al. Surgery for obesity. Cochrane Database of Systematic Reviews, 2009(2).

  39. Lobstein T, Baur L, Uauy R. Obesity in children and young people: a crisis in public health. Obes Rev Suppl. 2004;5(1):4–104.

    Article  Google Scholar 

  40. Inge T, Xanthakos S, Zeller M. Bariatric surgery for pediatric extreme obesity: now or later. Int J Obes. 2007;31(1):1–14.

    Article  CAS  Google Scholar 

  41. Borrell-Carrio F, Suchman AL, Epstein RM. The biopsychosocial model 25 years later: principles, practice and scientfic enquiry. Ann Fam Med. 2004;2(6):576–82.

    Article  PubMed Central  PubMed  Google Scholar 

  42. D’Agostino NM, Penney A, Zebrack B. Providing developmentally appropriate psychosocial care to adolescent and young adult cancer survivors. Cancer. 2011;117(10 suppl):2319–34.

    Google Scholar 

  43. Nicholas D et al. Evaluation of an online education and support intervention for adolescents with diabetes. Soc Work Health Care. 2012;51:815–27.

    Article  PubMed  Google Scholar 

  44. Kollar LM. Meeting the unique needs of adolescents in surgical weight-loss programs. Bariatric Nurs Surg Patient Care. 2012;7(3):136–9.

    Article  Google Scholar 

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Authors and Affiliations

  1. School of Psychology, Australian Catholic University, 115 Victoria Parade/Locked Bag 4115, Melbourne, VIC, 3065, Australia

    Kim Willcox & Leah Brennan

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  1. Kim Willcox
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  2. Leah Brennan
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Correspondence to Leah Brennan.

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Willcox, K., Brennan, L. Biopsychosocial Outcomes of Laparoscopic Adjustable Gastric Banding in Adolescents: a Systematic Review of the Literature. OBES SURG 24, 1510–1519 (2014). https://doi.org/10.1007/s11695-014-1273-3

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