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Please use this identifier to cite or link to this item: http://hdl.handle.net/123456789/2804

Title: Laparoscopic Adjustable Gastric Banding in Adolescent: Safety and Efficacy
Authors: Al-Qahtani, Aayed R.
Keywords: Laparoscopic
Adolescent
Efficacy
Issue Date: 2002
Publisher: Elsevier
Citation: Journal of Pediatric Surgery: 42 (5); 894– 897
Abstract: Background: Obesity prevalence is rapidly increasing among children and adolescents worldwide. It is considered one of the most alarming public health issues facing the world today. The adult experience has demonstrated that surgery is the only effective means of achieving persistent weight loss in obese patients. However, little is known about bariatric surgery in children and adolescents. The aim of this study is to evaluate the safety and efficacy of laparoscopic adjustable gastric banding (LAGB) in this group of patients. Methods: A retrospective review included all children and adolescents who underwent LAGB from January 2003 to December 2005. Results: Fifty-one patients underwent LAGB. The mean age was 16.8 years (range, 9-19), and the mean body mass index was 49.9 kg/m2 (range, 38-63). Mean excess weight loss was 42% at 6 months and 60% at 1 year follow-up. The most prevalent comorbidities were obstructive sleep apnea, limited physical activities, hypertension, and diabetes mellitus. Band adjustments were performed under fluoroscopic guidance in 5 patients and direct access as a clinic procedure in the remaining. One patient required port repositioning under fluoroscopic guidance. The mean follow-up was 16 months (range, 3-34). There was no mortality or significant postoperative complications. Conclusion: The absence of significant nutritional deficiency, the continued adjustability, and potential reversibility of LAGB make it the safest, least invasive, and most effective bariatric surgery that can be offered to the young and adolescent population.
URI: http://hdl.handle.net/123456789/2804
http://dx.doi.org/10.1016/j.jpedsurg.2006.12.057
ISSN: 0022-3468
Appears in Collections:College of Medicine
College of Medicine

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