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

Abstract：

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.

journal_name

J Pediatr Surg

journal_title

Journal of pediatric surgery

authors

Schmitt F,Riquin E,Beaumesnil M,Dinomais M,Topart P,Weil D,Malka J,Coutant R,Podevin G,Bouhours-Nouet N

doi

10.1016/j.jpedsurg.2015.08.057

subject

Has Abstract

pub_date

2016-03-01 00:00:00

pages

403-8

issue

3

eissn

0022-3468

issn

1531-5037

pii

S0022-3468(15)00577-1

journal_volume

51

pub_type

临床试验,杂志文章

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