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Comparative outcomes of laparoscopic adjustable gastric banding in adolescents and adults.
Surg Obes Relat Dis. 2011 Nov-Dec; 7(6):720-6.SO

Abstract

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.

Authors+Show Affiliations

Department of Surgery, Center for Adolescent Bariatric Surgery and Center for Obesity Surgery, Columbia University Medical Center, New York, New York, USA. jlz2@columbia.eduNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Comparative Study
Journal Article

Language

eng

PubMed ID

21429814

Citation

Zitsman, Jeffrey L., et al. "Comparative Outcomes of Laparoscopic Adjustable Gastric Banding in Adolescents and Adults." Surgery for Obesity and Related Diseases : Official Journal of the American Society for Bariatric Surgery, vol. 7, no. 6, 2011, pp. 720-6.
Zitsman JL, Digiorgi MF, Marr JR, et al. Comparative outcomes of laparoscopic adjustable gastric banding in adolescents and adults. Surg Obes Relat Dis. 2011;7(6):720-6.
Zitsman, J. L., Digiorgi, M. F., Marr, J. R., Witt, M. A., & Bessler, M. (2011). Comparative outcomes of laparoscopic adjustable gastric banding in adolescents and adults. Surgery for Obesity and Related Diseases : Official Journal of the American Society for Bariatric Surgery, 7(6), 720-6. https://doi.org/10.1016/j.soard.2011.01.042
Zitsman JL, et al. Comparative Outcomes of Laparoscopic Adjustable Gastric Banding in Adolescents and Adults. Surg Obes Relat Dis. 2011 Nov-Dec;7(6):720-6. PubMed PMID: 21429814.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Comparative outcomes of laparoscopic adjustable gastric banding in adolescents and adults. AU - Zitsman,Jeffrey L, AU - Digiorgi,Mary F, AU - Marr,Joshua R, AU - Witt,Mary Ann, AU - Bessler,Marc, Y1 - 2011/03/22/ PY - 2010/05/24/received PY - 2011/01/26/revised PY - 2011/01/28/accepted PY - 2011/3/25/entrez PY - 2011/3/25/pubmed PY - 2012/2/22/medline SP - 720 EP - 6 JF - Surgery for obesity and related diseases : official journal of the American Society for Bariatric Surgery JO - Surg Obes Relat Dis VL - 7 IS - 6 N2 - 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. SN - 1878-7533 UR - https://www.unboundmedicine.com/medline/citation/21429814/full_citation/Comparative_outcomes_of_laparoscopic_adjustable_gastric_banding_in_adolescents_and_adults_ L2 - https://linkinghub.elsevier.com/retrieve/pii/S1550-7289(11)00070-0 DB - PRIME DP - Unbound Medicine ER -