title: Bariatric surgery in morbidly obese adolescents: a 4-year follow-up of ten patients.
abstract: BACKGROUND
  In cases that do not respond to non-surgical multidisciplinary treatment regimes, it seems the only possibility to offer bariatric surgical procedures.
  
  
  METHODS
  All ten patients (17.3+/-3 years old; body mass index (BMI): 49.1+/-6.8 kg/m(2)), who underwent bariatric surgery because of their morbid obesity at the Medical University of Vienna were included in the study and underwent medical care, psychological and nutritional treatment from a physician, a psychologist, and a nutrition expert before and after surgery (follow-up for a mean of 41+/-15.6 months) at regular intervals.
  
  
  RESULTS
  In total, all patients had a BMI loss of -10.33 kg/m(2), standard deviation, SD+/-6.6 (range from -3.3 to -25.07) at follow-up after 41 months, SD+/-15 months (range from 3 to 57), two patients dropped out because of lack of compliance. From a psychological perspective, the actual psychological condition was measured by five different psychological tests, e.g., 80% had a high score for depression, and 40% had negative self-acceptance.
  
  
  CONCLUSIONS
  The laparascopic gastric banding operation was not as effective in weight reduction as expected. We have to turn our attention to compliance, postoperative treatment and the psychological component.
authors.affiliation: Division of Nutrition and Metabolism, Department of Pediatrics, Medical University of Vienna, Vienna, Austria.
authors.forename: Kurt
authors.initials: K
authors.lastname: Widhalm
authors.forename: Sabine
authors.initials: S
authors.lastname: Dietrich
authors.forename: G
authors.initials: G
authors.lastname: Prager
authors.forename: G
authors.initials: G
authors.lastname: Silberhummer
authors.forename: Denise
authors.initials: D
authors.lastname: Orth
authors.forename: Zoltan Farkas
authors.initials: ZF
authors.lastname: Kispal
mesh_terms: D000293:Adolescent; D050110:Bariatric Surgery / Q000379:methods* / Q000523:psychology*; D015992:Body Mass Index; D003863:Depression / Q000453:epidemiology; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D008297:Male; D009767:Obesity, Morbid / Q000523:psychology / Q000601:surgery*; D010349:Patient Compliance; D012649:Self Concept; D016896:Treatment Outcome; D015431:Weight Loss