Weight Loss Surgery May Help Obese Adolescents

Childhood obesity is a serious and growing problem. Over the past 30 years, obesity rates among children have tripled. A recent study In the Journal of American Medical Association shows that gastric banding surgery, such as LAP-BAND®, can and have been, more effective than traditional weight loss programs promoting diet and exercise.
The February 10th issue of JAMA (Journal of the American Medical Association) reported that gastric banding may be more effective for achieving weight loss than lifestyle changes1.
The randomized controlled trial conducted by Paul E. O’Brien, M.D, FRACS, and colleagues of Monash University and the Centre for Adolescent Health, Royal Children’s Hospital, Melbourne, Australia, included 50 adolescents between the ages of 14 and 18, with a BMI higher than 35. Twenty five patients underwent laparoscopic gastric banding, while the remaining 25 entered a program of lifestyle intervention. This program included increased activity level, behavior modification and reduced calorie intake. Participants in both groups were followed for two years. (May 2005-September 2008).
Twenty four of the patients in the surgical group completed the study while 18 in the lifestyle group completed the program.
The study revealed that the gastric banding group lost an average of 76 pounds. This is an overall average loss of 28 percent of total body weight and 79 percent of excess weight. The lifestyle group lost an average of 6.6 pounds or an average of 3.1 percent total weight loss and 13 percent excess weight loss.
“At entry, 9 participants (36 %) in the gastric banding group and 10 (40%) in the lifestyle group had the metabolic syndrome. At 24 months, none of the gastric banding group had the metabolic syndrome compared with 4 of the 18 completers (22%) in the lifestyle group,” the authors noted.
“In this study, gastric banding proved to be an effective intervention leading to a substantial and durable reduction in obesity and to better health. The adolescent and parents must understand the importance of careful adherence to recommended eating behaviors and of seeking early consultation if symptoms of reflux, heartburn, or vomiting occur. As importantly, they should be in a setting in which they can maintain contact with health professionals who understand the process of care. This study indicates that, in such a setting, the laparoscopic adjustable gastric banding process can achieve important improvements in weight, health, and quality of life in severely obese adolescents,” the researchers concluded.
You can get more information on weight loss surgery such as gastric banding, gastric bypass or medically supervised weight loss programs by contacting one of our patient advocates today. The Surgical Specialists of Louisiana are committed to helping you reach your weight loss goals. Register for a free seminar and see which one of our weight loss programs has proven to be the most effective for weight loss in adolescent patients in Louisiana.
1. O’Brien, Paul E., et al. (2010). Laparoscopic Adjustable Gastric Banding in Severely Obese Adolescents. Journal of the American Medical Association, 303(6):519-526.

