Teenagers with obesity: Long-term results of laparoscopic adjustable gastric banding
Journal of Pediatric Surgery Sep 13, 2019
Furbetta N, et al. - Researchers retrospectively studied 59 adolescents with morbid obesity who underwent laparoscopic adjustable gastric banding (LAGB) at their institute in order to determine the efficacy of the procedure, in term of weight loss and comorbidity resolution, the occurrence of complications and reoperations. No intra- and post-operative mortality was reported. At follow-up at 5, 10 and 15 years, the patients' presence was 38/50 (76%), 18/25 (72%) and 5/8 (63%), respectively. The mean excess weight loss percentage at these follow-up time points was 61.7 ± 29.4, 48.1 ± 50.4 and 55.8 ± 51.2, respectively. They observed comorbidity resolution rates of 100% for patients with diabetes, 78% for patients with hypertension, 75% for joint pain suffers, 69% for patients with sleep apnea and 57% for patients with anxiety and depression. Total reoperation rate of 30.5% was observed. Band removal was performed in 8 patients: the procedure was done in 3 patients due to erosions, in 3 by patients' choice and in 2 for conversions to other bariatric procedures. These findings thereby support LAGB as an effective long-term surgical treatment for teenagers with morbid obesity.
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