Authors: Widhalm, Kurt¹; Fritsch, Maria¹; Widhalm, Harald²; Silberhumer, Gerd³; Dietrich, Sabine¹; Helk, Oliver¹; Prager, Gerhard³

Source: International Journal of Pediatric Obesity, Volume 6, Supplement 1, September 2011 , pp. 65-69(5)

Publisher: Informa Healthcare

Abstract:

<title>Abstract</title>

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. Discussion and conclusion. 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.

Keywords: Adolescents; bariatric surgery; follow-up; long term; morbid obesity

Document Type: Research article

DOI: http://dx.doi.org/10.3109/17477166.2011.606817

Affiliations: 1: 1Division of Clinical Nutrition and Prevention, Department of Pediatrics 2: 3Department of Traumasurgery, Centre for Joints and Cartilage, Medical University of Vienna, Vienna, Austria 3: 2Department of General Surgery, Div. Bariatric Surgery

Publication date: 2011-09-01

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