title: Bariatric surgery in morbidly obese adolescents: long-term follow-up.
abstract: OBJECTIVE
  Morbid obesity is an increasingly common disease in the industrialized world and poses a great challenge to the medical community. Many obese adolescents have undergone various conservative treatment methods without adequate success so that a surgical approach became necessary. We report on 18 patients who underwent bariatric surgery as well as a long-term follow-up program.
  
  
  METHODS
  Eight patients received a laparoscopic adjustable gastric banding (LAGB). Four of these had to undergo a gastric bypass surgery (GByp) as second procedure due to insufficient weight loss. Nine patients primarily received a gastric bypass.
  
  
  RESULTS
  LAGB: Mean weight loss after 24 months was 20 ± 6.3 kg. Four of the patients showed a regain in weight leading to a mean weight loss of 9 kg compared to initial weight after 53.3 months mean in this group. These patients had to undergo an additional gastric bypass procedure and lost 31 ± 18.3 kg after 18 months. GByp: Mean weight loss in nine patients after gastric bypass (primary procedure) was 31 ± 10.2 kg after 12 months and 36 ± 30.1 kg at the end of the observation time. Sleeve: Initial weight in this patient was 232 kg with a weight loss of 38 kg after 24 months.
  
  
  CONCLUSIONS
  It is remarkable that in four of eight patients who underwent LAGB had to undergo a second surgical procedure (GByp). No previous indicator, neither from a psychological nor from a medical point of view, could be detected. More long-term studies including psychological aspects seem to be necessary.
authors: Division of Clinical Nutrition and Prevention, Department of Pediatrics, Centre for Joints and Cartilage, Medical University of Vienna, Vienna, Austria. kurt.widhalm@meduniwien.ac.at
authors: Kurt
authors: K
authors: Widhalm
authors: Maria
authors: M
authors: Fritsch
authors: Harald
authors: H
authors: Widhalm
authors: Gerd
authors: G
authors: Silberhumer
authors: Sabine
authors: S
authors: Dietrich
authors: Oliver
authors: O
authors: Helk
authors: Gerhard
authors: G
authors: Prager
mesh_terms: D000293:Adolescent; D000328:Adult; D050110:Bariatric Surgery / Q000009:adverse effects / Q000379:methods / Q000534:rehabilitation*; D004435:Eating; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D008297:Male; D009767:Obesity, Morbid / Q000523:psychology / Q000534:rehabilitation* / Q000601:surgery*; D010349:Patient Compliance / Q000523:psychology; D012086:Reoperation; D013997:Time Factors; D016896:Treatment Outcome; D015431:Weight Loss; D055815:Young Adult