A comparison of laparoscopic adjustable gastric banding in adolescents and adults

Original article

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.

Keywords

Obesity Adolescents Laparoscopic adjustable silicone gastric banding Bariatric surgery 

References

  1. 1.
    Angrisani, L, Alkilani, M, Basso, N, Belvederesi, N, Campanile, F, Capizzi, FD, D’Atri, C, Di Cosmo, L, Doldi, SB, Favretti, F,  et al. 2001Laparoscopic Italian experience with the Lap-Band.Obes Surg11307310Google Scholar
  2. 2.
    Barlow, S, Dietz, W 1998Obesity 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.Pediatrics102E29PubMedGoogle Scholar
  3. 3.
    Berkowitz, RI 1997Treating adolescent obesity.Adolesc Med8181195PubMedGoogle Scholar
  4. 4.
    Brolin, RE, Gorman, RC, Milgrim, LM, Kenler, HA 1991Multivitamin prophylaxis in prevention of post–gastric bypass vitamin and mineral deficiencies.Int J Obes15661668PubMedGoogle Scholar
  5. 5.
    Busetto, L, Segato, G, DeMarchi, F, Foletto, M, De Luca, M, Caniato, D, Favretti, F, Lise, M, Enzi, G 2002Outcome predictors in morbidly obese recipients of an adjustable gastric band.Obes Surg128392CrossRefPubMedGoogle Scholar
  6. 6.
    Cole, TJ, Belizzi, MC, Flegal, KM, Dietz, WH 2000Establishing a standard definition for child overweight and obesity worldwide: international survey.BMJ320807818CrossRefGoogle Scholar
  7. 7.
    Dixon, JB, Dixon, ME, O’Brien, PE 2001Pre-operative predictors of weight loss at 1 year after LapBand surgery.Obes Surg11200207CrossRefPubMedGoogle Scholar
  8. 8.
    Dixon, JB, O’Brien, P 2002Health outcomes of severely obese type 2 diabetic subjects 1 year after laparoscopic adjustable silicone gastric banding.Diabetes Care25358363Google Scholar
  9. 9.
    Favretti, F, Cadiere, GB, Segato, G, Himpens, J, Busetto, L, De Marchi, F, Vertruyen, M, Enzi, G, De Luca, M, Lise, M 1997Laparoscopic adjustable silicone gastric banding (LapBand): how to avoid complications.Obes Surg7352358CrossRefPubMedGoogle Scholar
  10. 10.
    Fielding, G, Rhodes, M, Nathanson, LK 1999Laparoscopic gastric banding for morbid obesity: surgical outcome in 335 cases.Surg Endosc13550554CrossRefPubMedGoogle Scholar
  11. 11.
    Foley, EF, Benotti, PN, Borlase, BC, Hollingshead, J, Blackburn, GL 1992Impact of gastric restrictive surgery on hypertension in the morbidly obese.Am J Surg163294297PubMedGoogle Scholar
  12. 12.
    Greenstein, RJ, Martin, L, MacDonald, K, Chapman, W, McIntyre, R, Wittgrove, AC, Clark, G, Maher, J, Doherty, C, Munjal, D,  et al. 1999The LapBand system as surgical therapy for morbid obesity: intermediate results of the USA, multicenter, prospective study.Surg Endosc13S1S18CrossRefPubMedGoogle Scholar
  13. 13.
    Greenstein, RJ, Rabner, G, Taler, Y 1994Bariatric surgery versus conventional dieting in the morbidly obese.Obes Surg41623CrossRefPubMedGoogle Scholar
  14. 14.
    Guo, S, Huang, C, Maynard, L, Demerath, E, Towne, B, Chimlea, WC, Siervogel, RM 2000Body mass index during childhood, adolescence and young adulthood in relation to adult overweight and adiposity: the Fels Longitudinal Study .Int J Obes2416281635CrossRefGoogle Scholar
  15. 15.
    Klein, S 2001Medical management of obesity.Surg Clin North Am8110251038Google Scholar
  16. 16.
    Must, A 1996Morbidity and mortality associated with elevated body weight in children and adolescent fatness.Am J Clin Nutr63455S477SGoogle Scholar
  17. 17.
    Must, A, Strauss, RS 1999Risks and consequences of childhood and adolescent obesity.Int J Obes Relat Metab Disord23S2S11CrossRefGoogle Scholar
  18. 18.
    National Institutes of Health Consensus Development Conference1992Gastrointestinal surgery for severe obesity.Am J Clin Nutr5561586195Google Scholar
  19. 19.
    O’Brien, PE, Brown, WA, Smith, A, McMurrick, PJ, Stephens, M 1999Prospective study of a laparoscopically placed adjustable gastric band in the treatment of morbid obesity.Br J Surg85113118CrossRefGoogle Scholar
  20. 20.
    Parsons, TL, Power, C, Logan, S, Summerbell, CD 1999Childhood predictors of adult obesity—a systematic review.Int J Obes Relat Metab Disord8S1S107Google Scholar
  21. 21.
    Popkin, BM, Udry, JR 1998Adolescent obesity increases significantly in second and third generation US immigrants: the National Longitudinal Study of Adolescent Health.J Nutr128701708PubMedGoogle Scholar
  22. 22.
    Pories, WJ, Swanson, MS, MacDonald, KG, Long, SB, Morris, PG, Brown, BM, Barakat, HA, deRamon, R, Israel, G, Dolezal, JM,  et al. 1995Who would have thought it? An operation proves to be the most effective therapy for adult-onset diabetes mellitus.Ann Surg222339352PubMedGoogle Scholar
  23. 23.
    Power, C, Lake, JK, Cole, TJ 1997Measurement and long-term health risks of child and adolescent fatness.Int J Obes Relat Metab Disord21507526CrossRefPubMedGoogle Scholar
  24. 24.
    Schauer, PR, Ikramuddin, S 2001Laparoscopic surgery for morbid obesity.Surg Clin North Am8111451179Google Scholar
  25. 25.
    Szold, A, Abu-Abeid, S 2002Laparoscopic adjustable silicone gastric banding for morbid obesity.Surg Endosc16230233CrossRefPubMedGoogle Scholar

Copyright information

© Springer-Verlag 2003

Authors and Affiliations

  1. 1.Department of SurgeryWesley Hospital, 30 Chasely Street, Auchenflower, Queensland 4066Australia

Personalised recommendations