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Updated: Jun 3, 2026
One-anastomosis Gastric Bypass (OAGB) in Rats
Published on: November 10, 2018
Comparative outcomes of laparoscopic adjustable gastric banding in adolescents and adults
Jeffrey L Zitsman1, Mary F Digiorgi, Joshua R Marr
1Department of Surgery, Center for Adolescent Bariatric Surgery and Center for Obesity Surgery, Columbia University Medical Center, New York, New York, USA. jlz2@columbia.edu
Background:
Obesity is a major health problem in all age groups. Morbidly obese adolescents often fail to lose weight with diet and exercise and, as adults, become candidates for surgical intervention.
Methods:
We matched adolescents (14-19 yr) and adults (19-73 yr) retrospectively from university medical center-based adolescent and adult obesity surgery programs who had undergone laparoscopic adjustable gastric banding by gender and body mass index (n = 115).
Results:
The most common co-morbid condition in adolescents was menstrual irregularity/polycystic ovary syndrome. Hypertension was the most common co-morbid condition in adults. The adults were nearly 9 times as likely to be diabetic as the adolescents. We analyzed patients with ≥6 months of follow-up for the percentage of excess weight loss at 6-month intervals for ≤24 months. Both groups demonstrated progressive weight loss that did not differ significantly in the initial 12 months; however, the data beyond 12 months were limited by the small numbers.
Conclusion:
The presence of more serious co-morbidities in obese adults, coupled with the successful weight loss after laparoscopic adjustable gastric banding, in adolescents suggests that weight loss surgery might be indicated at a younger age for severely obese individuals.
