title: Comparative results of gastric banding in adolescents and young adults.
abstract: OBJECTIVE
  Obesity has become a major public health priority. Because of disappointing results obtained with dietary and medical programs, bariatric surgery has been offered to adolescents, although this practice remains controversial. Our aim was to evaluate laparoscopic adjustable gastric banding (LAGB) in adolescents at 2-year follow-up.
  
  
  METHODS
  This prospective study, from 2008 to 2013, compared results between adolescent patients and young adult controls. The LAGB technique and the follow-up program were similar. Weight loss and comorbid disease were analyzed.
  
  
  RESULTS
  Thirty-six adolescents (mean age at surgery=16.7±1.3years) were operated on and compared to 53 young adults (mean age at surgery=21.7±1.9years). The mean weight and BMI at surgery were 124.4±20.7 and 43.9±5.5kg/m(2), respectively. Among the adolescents, none were diabetic or hypertensive. The mean glycated hemoglobin was 5.6±1.2%. In four cases (11%) dyslipidemia was observed. There was no significant difference between the two groups in terms of initial preoperative weight or BMI. The absolute BMI values at 6, 12 and 24months after surgery were comparable between adolescents and young adults: 38.7 vs 39.8, 36.0 vs 37.6 and 33.5 vs 36.1kg/m(2), respectively. The excess weight loss was higher in adolescents at 12 and 24months: 48.6 vs 37.6% (p=0.03); and 62.3 vs 45.5% (p=0.02). During this period, insulin resistance and dyslipidemia decreased similarly in both groups.
  
  
  CONCLUSIONS
  Provided there is careful selection of patients and a supportive multidisciplinary team, satisfying results can be obtained after LAGB in adolescents, comparable to those obtained in young adults at 2-year follow-up.
authors.affiliation: AP-HP, Hôpital Necker-Enfants malades, Service de Chirurgie Pédiatrique Viscérale, Paris, France; Université Paris Descartes, Paris, France.
authors.forename: Erik
authors.initials: E
authors.lastname: Hervieux
authors.affiliation: CHRU Lille, Hôpital Claude Huriez, Service de Chirurgie Générale et Endocrinienne, Lille, France.
authors.forename: Gregory
authors.initials: G
authors.lastname: Baud
authors.affiliation: AP-HP, Hôpital Necker-Enfants malades, Service de Gastroenterologie et Nutrition Pédiatrique, Paris, France.
authors.forename: Myriam
authors.initials: M
authors.lastname: Dabbas
authors.affiliation: CHRU Lille, Hôpital Claude Huriez, Service de Chirurgie Générale et Endocrinienne, Lille, France.
authors.forename: Marie
authors.initials: M
authors.lastname: Pigeyre
authors.affiliation: CHRU Lille, Hôpital Claude Huriez, Service de Chirurgie Générale et Endocrinienne, Lille, France.
authors.forename: Robert
authors.initials: R
authors.lastname: Caiazzo
authors.affiliation: CHRU Lille, Hôpital Claude Huriez, Service de Chirurgie Générale et Endocrinienne, Lille, France.
authors.forename: Romain
authors.initials: R
authors.lastname: Verhaeghe
authors.affiliation: AP-HP, Hôpital Necker-Enfants malades, Service de Gastroenterologie et Nutrition Pédiatrique, Paris, France; Université Paris Descartes, Paris, France.
authors.forename: Olivier
authors.initials: O
authors.lastname: Goulet
authors.affiliation: AP-HP, Hôpital Necker-Enfants malades, Service de Chirurgie Pédiatrique Viscérale, Paris, France; Université Paris Descartes, Paris, France.
authors.forename: Yves
authors.initials: Y
authors.lastname: Aigrain
authors.affiliation: AP-HP, Hôpital Necker-Enfants malades, Service de Chirurgie Pédiatrique Viscérale, Paris, France; Université Paris Descartes, Paris, France.
authors.forename: Yann
authors.initials: Y
authors.lastname: Révillon
authors.affiliation: CHRU Lille, Hôpital Claude Huriez, Service de Chirurgie Générale et Endocrinienne, Lille, France.
authors.forename: Francois
authors.initials: F
authors.lastname: Pattou
authors.affiliation: AP-HP, Hôpital Necker-Enfants malades, Service de Chirurgie Pédiatrique Viscérale, Paris, France; Université Paris Descartes, Paris, France. Electronic address: naziha.khen-dunlop@nck.aphp.fr.
authors.forename: Naziha
authors.initials: N
authors.lastname: Khen-Dunlop
mesh_terms: D000293:Adolescent; D000328:Adult; D000367:Age Factors; D005260:Female; D005500:Follow-Up Studies; D015391:Gastroplasty / Q000379:methods; D006801:Humans; D010535:Laparoscopy / Q000379:methods; D008297:Male; D009767:Obesity, Morbid / Q000601:surgery*; D063766:Pediatric Obesity / Q000601:surgery*; D011446:Prospective Studies; D016896:Treatment Outcome; D055815:Young Adult
keywords: Adolescents; Obesity; Pediatrics; Surgery