Teenagers with obesity: Long-term results of laparoscopic adjustable gastric banding.
Adolescent
Adult
Anxiety
/ epidemiology
Arthralgia
/ etiology
Comorbidity
Depression
/ epidemiology
Diabetes Mellitus, Type 2
/ epidemiology
Female
Follow-Up Studies
Gastroplasty
/ adverse effects
Humans
Hypertension
/ epidemiology
Laparoscopy
/ methods
Male
Obesity, Morbid
/ epidemiology
Pediatric Obesity
/ epidemiology
Postoperative Period
Reoperation
Retrospective Studies
Sleep Apnea Syndromes
/ epidemiology
Treatment Outcome
Weight Loss
Young Adult
Adolescent
Bariatric surgery
Laparoscopic adjustable gastric band
Long-term result
Reversible weight loss surgery
Journal
Journal of pediatric surgery
ISSN: 1531-5037
Titre abrégé: J Pediatr Surg
Pays: United States
ID NLM: 0052631
Informations de publication
Date de publication:
Apr 2020
Apr 2020
Historique:
received:
18
02
2019
revised:
20
08
2019
accepted:
20
08
2019
pubmed:
11
9
2019
medline:
9
9
2020
entrez:
11
9
2019
Statut:
ppublish
Résumé
Obesity is a rapidly spreading chronic disease worldwide. Long-term results are critical to assess the effectiveness of a bariatric procedure, particularly in young patients who have long life expectancy. A retrospective study on adolescents with morbid obesity who underwent Laparoscopic Adjustable Gastric Banding (LAGB) at our institute from 1995 to 2018 was made. Primary endpoints were efficacy, in term of weight loss and comorbidity resolution, occurrence of complications and reoperations. Fifty-nine patients underwent LAGB between 1995 and 2018. Intra- and post-operative mortality was absent. The patients' presence at follow-up at 5, 10 and 15 years was 38/50 (76%), 18/25 (72%) and 5/8 (63%), respectively. At those times the mean excess weight loss percentage was 61.7 ± 29.4, 48.1 ± 50.4 and 55.8 ± 51.2, respectively. Comorbidity resolution rates were 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 was 30.5%. The band was removed in 8 patients: 3 due to erosions, 3 by patients' choice and 2 conversions to other bariatric procedures. LAGB, in combination with the patients' close follow-up performed by an interdisciplinary team, can be an effective long-term surgical treatment for teenagers with morbid obesity. Level IV.
Sections du résumé
BACKGROUND
BACKGROUND
Obesity is a rapidly spreading chronic disease worldwide. Long-term results are critical to assess the effectiveness of a bariatric procedure, particularly in young patients who have long life expectancy.
METHODS
METHODS
A retrospective study on adolescents with morbid obesity who underwent Laparoscopic Adjustable Gastric Banding (LAGB) at our institute from 1995 to 2018 was made. Primary endpoints were efficacy, in term of weight loss and comorbidity resolution, occurrence of complications and reoperations.
RESULTS
RESULTS
Fifty-nine patients underwent LAGB between 1995 and 2018. Intra- and post-operative mortality was absent. The patients' presence at follow-up at 5, 10 and 15 years was 38/50 (76%), 18/25 (72%) and 5/8 (63%), respectively. At those times the mean excess weight loss percentage was 61.7 ± 29.4, 48.1 ± 50.4 and 55.8 ± 51.2, respectively. Comorbidity resolution rates were 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 was 30.5%. The band was removed in 8 patients: 3 due to erosions, 3 by patients' choice and 2 conversions to other bariatric procedures.
CONCLUSION
CONCLUSIONS
LAGB, in combination with the patients' close follow-up performed by an interdisciplinary team, can be an effective long-term surgical treatment for teenagers with morbid obesity.
LEVEL OF EVIDENCE
METHODS
Level IV.
Identifiants
pubmed: 31500873
pii: S0022-3468(19)30550-0
doi: 10.1016/j.jpedsurg.2019.08.011
pii:
doi:
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
732-736Informations de copyright
Copyright © 2019 Elsevier Inc. All rights reserved.
Déclaration de conflit d'intérêts
Declaration of competing interest The authors declare that they have no conflict of interest.