title: Obese teenagers treated by Lap-Band System: the Italian experience.
abstract: BACKGROUND
  Little is known about obesity surgery in young and adolescent patients. The aim of this study is to evaluate results of laparoscopic adjustable gastric banding in obese teenagers.
  
  
  METHODS
  Patients < or = 19 years old selected from the database of the Italian Collaborative Study Group for Lap-Band were analyzed according to mortality, comorbidities, laparotomic conversion, intra- and postoperative complications, body mass index (BMI), and % excess weight loss (EWL) at different times of follow-up. Data were expressed as mean +/- SD.
  
  
  RESULTS
  Fifty-eight (1.5%) of 3813 patients who underwent operation with the Lap-Band System were < or = 19 years old: 47F/11M; mean age, 17.96 +/- 0.99 years (range, 15-19); mean BMI, 46.1 +/- 6.31 Kg/m2 (range, 34.9 - 69.25); mean % excess weight, 86.4 +/- 27.1 (range, 34 - 226.53). Sixteen (27.5%) of the 58 patients were superobese (BMI > or = 50). In 27/58 (46.5%) patients, 1 or more comorbidities were diagnosed. Mortality was absent. Laparotomic conversion was necessary in 1 patient with gastric perforation on the anterior wall. Overall postoperative complications occurred in 6/58 (10.3%). The band was removed in 6/58 (10.3%) patients for gastric erosion (3 patients), psychologic, intolerance (2 patients), and in the remaining patient was converted 2 years after surgery (BMI 31) to gastric bypass or gastric pouch dilatation. Patient follow-up at 1, 3, 5, and 7 years was 48/52 (92.3%), 37/42 (88.1%), 25/33 (75.7%), and 10/10, respectively. At these times, mean BMI was 35.9 +/- 8.4, 37.8 +/- 11.27, 34.9 +/- 12.2, and 29.7 +/- 5.2 Kg/m2. Mean %EWL at the same time was 45.6 +/- 29.6, 39.7 +/- 29.8, 43.7 +/- 38.1, and 55.6 +/- 29.2. Five/25 (20%) patients had < or = 25% EWL at 5 years follow-up, while none of the 10 patients subject to follow-up at 7 years had < or = 25% EWL.
  
  
  CONCLUSIONS
  Lap-Band System is an interesting option for teenagers suffering obesity and its related comorbidities, which deserves further investigation.
authors.affiliation: Italian Collaborative Study Group for Lap-Band System, Naples, Italy.
authors.forename: L
authors.initials: L
authors.lastname: Angrisani
authors.forename: F
authors.initials: F
authors.lastname: Favretti
authors.forename: F
authors.initials: F
authors.lastname: Furbetta
authors.forename: M
authors.initials: M
authors.lastname: Paganelli
authors.forename: N
authors.initials: N
authors.lastname: Basso
authors.forename: S B
authors.initials: SB
authors.lastname: Doldi
authors.forename: A
authors.initials: A
authors.lastname: Iuppa
authors.forename: M
authors.initials: M
authors.lastname: Lucchese
authors.forename: E
authors.initials: E
authors.lastname: Lattuada
authors.forename: G
authors.initials: G
authors.lastname: Lesti
authors.forename: F D
authors.initials: FD
authors.lastname: Capizzi
authors.forename: C
authors.initials: C
authors.lastname: Giardiello
authors.forename: N
authors.initials: N
authors.lastname: Di Lorenzo
authors.forename: A
authors.initials: A
authors.lastname: Veneziani
authors.forename: M
authors.initials: M
authors.lastname: Alkilani
authors.forename: F
authors.initials: F
authors.lastname: Puglisi
authors.forename: A
authors.initials: A
authors.lastname: Gardinazzi
authors.forename: A
authors.initials: A
authors.lastname: Cascardo
authors.forename: V
authors.initials: V
authors.lastname: Borrelli
authors.forename: M
authors.initials: M
authors.lastname: Lorenzo
mesh_terms: D000293:Adolescent; D000328:Adult; D015897:Comorbidity; D016208:Databases, Factual; D005260:Female; D005500:Follow-Up Studies; D015391:Gastroplasty / Q000379:methods* / Q000401:mortality*; D006801:Humans; D007558:Italy / Q000453:epidemiology; D010535:Laparoscopy; D008297:Male; D009767:Obesity, Morbid / Q000401:mortality* / Q000601:surgery*; D016896:Treatment Outcome