Laparoscopic adjustable gastric banding in adolescents: Results at two years including psychosocial aspects

TitreLaparoscopic adjustable gastric banding in adolescents: Results at two years including psychosocial aspects
Type de publicationArticle de revue
AuteurSchmitt, Françoise, Riquin, Elise, Beaumesnil, Marion, Dinomais, Mickaël , Topart, Philippe, Weil, Dominique, Malka, Jean, Coutant, Régis, Podevin, Guillaume , Bouhours-Nouet, Natacha
TypeArticle scientifique dans une revue à comité de lecture
Date14 sept. 2015
Titre de la revueJournal of pediatric surgery
Mots-clésadolescence, Bariatric Surgery, Health-related quality of life, Insulin resistance, LAGB, Morbid obesity
Résumé en anglais

BACKGROUND/PURPOSE: Obesity now affects 3%-4% of the pediatric population and contributes to the increase in cardiac mortality in adulthood. Bariatric surgery is the best treatment for weight loss and the obesity-associated comorbidities in adults. We report here our experience of laparoscopic adjustable gastric banding (LAGB) in adolescents.

METHODS: The medical charts of the first 16 patients operated on in our center were reviewed. Data were compiled concerning weight loss, physical and biological comorbidities, health-related quality of life (QOL) and surgical complications before surgery and during 24months of follow-up.

RESULTS: The maximal pre-operative median body mass index was 43.0kg·m(-2), decreasing to 33.0kg·m(-2) at 2years post-LAGB, which corresponded to a 49.2% excess body weight loss (p<0.001). Most comorbidities (glucose intolerance, hypertension and sleep apnea) resolved within the first year post-LAGB and QOL was improved on the PedsQL™ scales. No severe surgical complications were noted, with only three re-interventions for device failure (2) or band removal (1).

CONCLUSION: LAGB is well tolerated in adolescents and shows a beneficial impact on weight loss and obesity-related comorbidities. Associated with global management, it may have a positive impact on patients' QOL and social and psychological status.

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Titre abrégéJ. Pediatr. Surg.
Identifiant (ID) PubMed26490010