Adolescent Gastric Banding: a 5-Year Longitudinal Study
| العنوان: | Adolescent Gastric Banding: a 5-Year Longitudinal Study |
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| المؤلفون: | Ilene Fennoy, Jeffrey L. Zitsman, Michael J. Devlin, Janet Schauben Kopchinski, Robyn Sysko, Mary DiGiorgi, Adina Z. Zhang |
| المصدر: | Obesity Surgery. 30:828-836 |
| بيانات النشر: | Springer Science and Business Media LLC, 2019. |
| سنة النشر: | 2019 |
| مصطلحات موضوعية: | Male, Pediatric Obesity, Sleeve gastrectomy, Longitudinal study, medicine.medical_specialty, Adolescent, Gastroplasty, Endocrinology, Diabetes and Metabolism, medicine.medical_treatment, 030209 endocrinology & metabolism, Comorbidity, Body Mass Index, 03 medical and health sciences, 0302 clinical medicine, Weight loss, Weight Loss, medicine, Humans, Longitudinal Studies, Nutrition and Dietetics, business.industry, Heartburn, Anthropometry, medicine.disease, Obesity, Obesity, Morbid, Surgery, Clinical trial, Treatment Outcome, Female, Laparoscopy, 030211 gastroenterology & hepatology, medicine.symptom, business, Body mass index, Follow-Up Studies |
| الوصف: | Laparoscopic adjustable gastric banding (LAGB) is used to treat obesity in adults. Less is known about long-term results of the procedure in adolescents. To evaluate LAGB 5-year outcomes in teenagers with severe obesity. Children’s hospital, USA. Adolescents (14–18 years) underwent LAGB in an FDA-approved observational clinical trial. Outcomes including anthropometric measurements, comorbid conditions, complications, and band retention were collected through 60 months. One hundred thirty-seven subjects underwent LAGB (94 female, 43 male; 43% white, 37% Hispanic, 17% black; 4% other). Mean age and body mass index (BMI) pre-operatively were 17.0 + 1.2 years and 48.3 + 8.2 kg/m2, respectively. Comorbidities were present in 71%. Maximum weight loss occurred by 36 months (mean % excess weight loss (EWL) 40.6 + 35.2, mean % excess BMI loss (EBMIL) 41.6 + 34.9) and was maintained through 5 years for most subjects. There were no significant differences in weight loss by gender. Twenty-three (18%) of 127 adolescents reporting at 60 months achieved 50% excess weight loss. Postoperative heartburn and emesis occurred in 70% and 32%, respectively. Complications requiring additional surgery occurred 80 times in 63 patients. Thirty-three (26%) of 127 subjects contacted at 5 years had undergone band removal. In this study, fewer than 20% of adolescents with severe obesity lost > 50% of their excess weight following LAGB. Nearly 50% of patients required additional surgery. With reports of success following sleeve gastrectomy and gastric bypass, we believe that LAGB is not a preferred choice to treat adolescents with obesity. |
| تدمد: | 1708-0428 0960-8923 |
| DOI: | 10.1007/s11695-019-04321-5 |
| URL الوصول: | https://explore.openaire.eu/search/publication?articleId=doi_dedup___::d40344563b19e79829bd629cc48da598 https://doi.org/10.1007/s11695-019-04321-5 |
| Rights: | CLOSED |
| رقم الانضمام: | edsair.doi.dedup.....d40344563b19e79829bd629cc48da598 |
| قاعدة البيانات: | OpenAIRE |
| تدمد: | 17080428 09608923 |
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| DOI: | 10.1007/s11695-019-04321-5 |