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Obese teenagers treated by Lap-Band System: the Italian experience
L Angrisani1, F Favretti, F Furbetta
1Italian Collaborative Study Group for Lap-Band System, Naples, Italy.
Surgery
|November 18, 2005
Summary
Laparoscopic adjustable gastric banding shows promising results for obese teenagers, with no mortality and significant excess weight loss (EWL). Further research is recommended for this bariatric surgery option in adolescents.
Area of Science:
- Bariatric Surgery
- Adolescent Health
- Obesity Management
Background:
- Obesity surgery in young patients is not well-documented.
- Laparoscopic adjustable gastric banding (Lap-Band) is a potential treatment for adolescent obesity.
Purpose of the Study:
- To evaluate the outcomes of Lap-Band surgery in obese teenagers.
- Assess safety, efficacy, and long-term results in this demographic.
Main Methods:
- Analysis of patients aged 19 or younger from the Italian Collaborative Study Group for Lap-Band database.
- Evaluation of mortality, comorbidities, complications, BMI, and % excess weight loss (EWL).
Main Results:
- 58 adolescent patients (mean age 17.96) underwent Lap-Band surgery.
- No mortality observed; 10.3% postoperative complications. Significant %EWL achieved, with sustained results at 7 years.
- 46.5% had comorbidities; 27.5% were superobese (BMI ≥ 50).
Conclusions:
- Lap-Band System is a viable option for adolescent obesity and related comorbidities.
- The procedure demonstrates safety and efficacy in this population, warranting further investigation.

