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Patient and Parent Perspectives of Adolescent Laparoscopic Adjustable Gastric Banding (LAGB)

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Abstract

Background

Adolescent obesity is a significant global health challenge and severely obese adolescents commonly experience serious medical and psychosocial challenges. Consequently, severe adolescent obesity is increasingly being treated surgically. The limited available research examining the effectiveness of adolescent bariatric surgery focuses primarily on bio-medical outcomes. There is a need for a more comprehensive understanding of the behavioural, emotional and social factors which affect adolescents’ and parents’ experience of weight loss surgery.

Methods

Patient and parents’ perspectives of adolescent LAGB were examined using a qualitative research methodology. Individual, semi-structured interviews were conducted with eight adolescent patients and five parents. Thematic analysis was used to identify key themes in the qualitative data.

Results

Patients and parents generally considered adolescent laparoscopic adjustable gastric banding (LAGB) to be a life-changing experience, resulting in physical and mental health benefits. Factors considered to facilitate weight loss following surgery included parental support and adherence to treatment guidelines. Many adolescents reported experiencing surgical weight loss stigma and challenging interpersonal outcomes after weight loss for which they felt unprepared.

Conclusions

Patients and parents perceived LAGB positively. There are opportunities to improve both the experience and outcomes of adolescent LAGB through parental education and enhancements to surgical aftercare programmes.

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Author information

Authors and Affiliations

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

    Kim Willcox & Leah Brennan

  2. School of Social Sciences, Monash University, Wellington Road, Clayton, Victoria, 3168, Australia

    Narelle Warren

  3. Centre for Obesity Research and Education, Monash University, Level 6, The Alfred Centre, 99 Commercial Road, Melbourne, Victoria, 3004, Australia

    Paul O’Brien, Wendy Brown & Leah Brennan

  4. Hobson’s Bay Specialist Centre, 93 Ferguson Street, Williamstown, Victoria, 3106, Australia

    Peter Nottle

  5. Winnett Specialist Group, 382 Victoria Parade, East Melbourne, Victoria, 3002, Australia

    Jason Winnett

  6. Darebin Weightloss Surgery, 3/195 Thompsons Road, Bulleen, Victoria, 3105, Australia

    Ahmad Aly

Authors
  1. Kim Willcox
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  2. Narelle Warren
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  3. Paul O’Brien
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  4. Wendy Brown
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  5. Peter Nottle
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  6. Jason Winnett
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  7. Ahmad Aly
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  8. Leah Brennan
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Corresponding author

Correspondence to Leah Brennan.

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Ethical Approval

All procedures performed in studies involving human participants were in accordance with the ethical standards of the institutional and/or national research committee and with the 1964 Helsinki Declaration and its later amendments or comparable ethical standards.

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Informed consent was obtained from all individual participants included in the study.

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Willcox, K., Warren, N., O’Brien, P. et al. Patient and Parent Perspectives of Adolescent Laparoscopic Adjustable Gastric Banding (LAGB). OBES SURG 26, 2667–2674 (2016). https://doi.org/10.1007/s11695-016-2156-6

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  • DOI: https://doi.org/10.1007/s11695-016-2156-6

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