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Related Experiment Videos

Bariatric surgery in adolescence.

Subhi Abu-Abeid1, Nancy Gavert, Joseph M Klausner

  • 1Department of Surgery B and the Endoscopic Surgery Service, Tel-Aviv Sourasky Medical Center, Tel-Aviv, Israel.

Journal of Pediatric Surgery
|October 3, 2003
PubMed
Summary
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Bariatric surgery, specifically laparoscopic adjustable gastric banding (LAGB), can effectively treat severe morbid obesity in adolescents when nonsurgical methods fail. This approach led to significant BMI reduction and improved health in a small study group.

Area of Science:

  • Pediatric Endocrinology
  • Bariatric Surgery
  • Adolescent Health

Background:

  • Morbid obesity in adolescents is a growing concern.
  • Surgical intervention is often contraindicated but may be necessary for severe, treatment-resistant cases.

Purpose of the Study:

  • To evaluate the safety and efficacy of surgical management for severe morbid obesity in adolescent patients.
  • To assess outcomes following laparoscopic adjustable gastric banding (LAGB) in this population.

Main Methods:

  • A cohort of 11 adolescents with severe morbid obesity underwent extensive preoperative evaluation, including psychological assessments.
  • All patients received laparoscopic adjustable gastric banding (LAGB).
  • Follow-up averaged 23 months.

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Main Results:

  • Mean age was 15.7 years, with a mean preoperative BMI of 46.4 kg/m2.
  • Significant BMI reduction observed, from 46.6 to 32.1 kg/m2 post-surgery.
  • Marked improvements in associated medical conditions and psychological well-being were noted, with no operative or late complications.

Conclusions:

  • Adolescents with extreme morbid obesity can benefit from bariatric surgery.
  • Careful patient and family preparation for lifestyle changes is crucial for successful outcomes.
  • LAGB is a viable option for select adolescents with severe morbid obesity.