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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.

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https://hal.archives-ouvertes.fr/hal-01392332
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Submitted on : Friday, November 4, 2016 - 11:50:15 AM
Last modification on : Thursday, January 20, 2022 - 12:18:02 PM

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Françoise Schmitt, Elise Riquin, Marion Beaumesnil, Mickaël Dinomais, Philippe Topart, et al.. Laparoscopic adjustable gastric banding in adolescents: Results at two years including psychosocial aspects. Journal of Pediatric Surgery, American Academy of Pediatrics, 2015, pp.403-408. ⟨10.1016/j.jpedsurg.2015.08.057⟩. ⟨hal-01392332⟩

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