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Adolescent Gastric Banding: a 5-Year Longitudinal Study
Jeffrey L Zitsman1,2, Mary F DiGiorgi3, Adina Z Zhang4
1Division of Pediatric Surgery, Morgan Stanley Children's Hospital of New York Presbyterian/Columbia University Irving Medical Center, 3959, Broadway, NY, 10032, USA. jlz2@cumc.columbia.edu.
Obesity Surgery
|December 11, 2019
Summary
Laparoscopic adjustable gastric banding (LAGB) in adolescents resulted in limited long-term weight loss for most, with high complication rates. This suggests LAGB may not be the preferred bariatric surgery for this age group.
Area of Science:
- Bariatric surgery outcomes
- Adolescent obesity treatment
- Long-term clinical trials
Background:
- Laparoscopic adjustable gastric banding (LAGB) is a bariatric procedure for adult obesity.
- Long-term outcomes of LAGB in adolescents are not well-established.
Purpose of the Study:
- To evaluate the 5-year outcomes of LAGB in teenagers with severe obesity.
- Assess anthropometric measurements, comorbidities, complications, and band retention.
Main Methods:
- An FDA-approved observational clinical trial involving adolescents (14-18 years) who underwent LAGB.
- Data collected up to 60 months post-surgery.
Main Results:
- Mean excess weight loss (EWL) of 40.6% at 36 months, maintained for most through 5 years.
- Only 18% achieved 50% EWL by 60 months.
- High rates of postoperative heartburn (70%), emesis (32%), and complications requiring surgery (63 patients).
- 26% of patients had band removal by 5 years.
Conclusions:
- Fewer than 20% of adolescents achieved >50% excess weight loss with LAGB.
- Nearly 50% of patients required additional surgery.
- LAGB is not considered a preferred option for adolescent obesity treatment compared to other bariatric procedures.
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