Long-Term Follow-Up Is Essential to Assess Outcome of Gastric Banding in Morbidly Obese Adolescents: A Retrospective Analysis

Overview

Journal Obes Facts

Publisher Karger

Specialty Endocrinology

Date 2016 Oct 5

PMID 27701155

Citations 6

Authors

Givan F Paulus

Gerdy Konings

Nicole D Bouvy

L W Ernest van Heurn

Jan Willem Greve

Affiliations

Soon will be listed here.

Abstract

Background: Adolescent obesity is rapidly becoming more prevalent and is associated with chronic health conditions and psychosocial morbidity. Lifestyle intervention is often ineffective in morbidly obese adolescents, and bariatric surgery is gradually becoming an accepted treatment. However, little is known about long-term results.

Methods: Hospital charts of patients who had undergone gastric banding more than 5 years ago at an age of 18 years or younger, were retrospectively analyzed. Weight loss, complications, reoperations, and comorbidity reduction were assessed as well as health status, food behavior, and personality.

Results: BMI loss in 10 adolescents was 10.7 kg/m2 (-0.9 to 12.9 kg/m2) after a median follow-up of 64 months (52-84 months); the major part of weight loss occurred after the first year. In 4 patients the gastric band was removed after 3.5-5.5 years. Two out of 3 patients effectively lost weight after conversion to a bypass type procedure. One patient is maintaining a stable healthy weight after band removal.

Conclusions: Laparoscopic adjustable gastric banding in morbidly obese adolescents had a failure rate of 40%, but was a successful therapy in the other 60% without major adverse events. Follow-up longer than 36 months was crucial for optimal evaluation of weight loss and reoperation rate.

Citing Articles

Long-Term Results of Bariatric Surgery in Adolescents with at Least 5 Years of Follow-up: a Systematic Review and Meta-Analysis.

Wu Z, Gao Z, Qiao Y, Chen F, Guan B, Wu L Obes Surg. 2023; 33(6):1730-1745.

PMID: 37115416 DOI: 10.1007/s11695-023-06593-4.

Adolescent Gastric Banding: a 5-Year Longitudinal Study.

Zitsman J, DiGiorgi M, Zhang A, Kopchinski J, Sysko R, Devlin M Obes Surg. 2019; 30(3):828-836.

PMID: 31820403 DOI: 10.1007/s11695-019-04321-5.

Short- and long-term safety and efficacy of bariatric surgery for severely obese adolescents: a narrative review.

Sarno L, Lipshultz S, Harmon C, De La Cruz-Munoz N, Balakrishnan P Pediatr Res. 2019; 87(2):202-209.

PMID: 31401646 DOI: 10.1038/s41390-019-0532-3.

Challenges in Transition of Care for Pediatric Patients after Weight-Reduction Surgery: a Systematic Review and Recommendations for Comprehensive Care.

Cairo S, Majumdar I, Pryor A, Posner A, Harmon C, Rothstein D Obes Surg. 2018; 28(4):1149-1174.

PMID: 29427120 DOI: 10.1007/s11695-018-3138-7.

Medium- to Long-Term Outcomes of Gastric Banding in Adolescents: a Single-Center Study of 97 Consecutive Patients.

Dumont P, Blanchet M, Gignoux B, Matussiere Y, Frering V Obes Surg. 2017; 28(1):285-289.

PMID: 29103071 DOI: 10.1007/s11695-017-2998-6.

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