Abstract
Recently, surgical intervention has gained increasing support in adolescents with extreme obesity. This study summarizes the analysis into the effect of laparoscopic adjustable gastric bands (LAGB) on cardiovascular risk factors in 14 extremely obese Portuguese adolescent patients. Data collected both pre- and postoperatively included age, gender, body mass index (BMI), percentage of excess weight loss, cardiovascular risk factors, and cardiovascular outcomes. Ten girls and four boys aged from 13.5 to 17.5 years underwent LABG. The mean preoperative weight and BMI were 127.4 kg and 46.1 kg/m2, respectively. The average percentage of weight loss calculated was 32 % at 1 year, 38.8 % at 2 years, and 48.1 % at 3 years of follow-up. Simultaneously, blood pressure and insulin resistance index returned to normal, and there was an increase in high-density lipoprotein levels, 3 years after the LABG was fitted. LABG fitting is a safe and effective treatment strategy for the improvement of cardiovascular status following weight loss.
References
Padez C, Mourão I, Moreira P, et al. Prevalence and risk factors for overweight and obesity in Portuguese children. Acta Paediatr. 2005;94:1550–7.
Inge TH, Zeller MH, Lawson ML, et al. A critical appraisal of evidence supporting a bariatric surgical approach to weight management for adolescents. J Pediatr. 2005;147:10–9.
Buchwald H, et al. Bariatric surgery: a systematic review and meta-analysis. JAMA. 2004;292:1724–37.
Inge TH, Xanthakos SA, Zeller MH. Pediatric review—bariatric surgery for pediatric extreme obesity: now or later? Int J Obes. 2007;31:1–14.
Bult MJF, Dalen TV, Muller AF. Surgical treatment of obesity. Eur J Endocrinol. 2008;158:135–45.
Shargorodsky M, et al. The effect of a rapid weight loss induced by laparoscopic adjustable gastric banding on arterial stiffness, metabolic and inflammatory parameters in patients with morbid obesity. Int J Obes (Lond). 2006;30(11):1632–8.
Nascimento H, Rocha S, Rego C, et al. Leukocyte count versus C-reactive protein levels in obese Portuguese patients aged 6–12 years old. Open Biochem J. 2010;10(4):72–6.
National High Blood Pressure Education Program Working Group on High Blood Pressure in Children and Adolescents. The fourth report on the diagnosis, evaluation, and treatment of high blood pressure in children and adolescents. Pediatrics. 2004;114(2 Suppl 4th Report):555–76.
Tamir I, Heiss G, Glueck CJ, et al. Lipid and lipoprotein distributions in white children ages 6-19 yrs: the Lipid Research Clinics Program Prevalence study. J Chronic Dis. 1981;34(1):27–39.
Keskin M, et al. Homeostasis model assessment is more reliable than fasting glucose/insulin ratio and quantitative insulin sensitivity check index for assessing insulin resistance among obese children and adolescents. Pediatrics. 2005;115:500–3.
Abu-Abeid S, Gavert N, Klausner JM. Bariatric surgery in adolescence. J Pediatr Surg. 2003;38:1379–82.
Al-Qahtani AR. Laparoscopic adjustable gastric banding in adolescents: safety and efficacy. J Pediatr Surg. 2007;38(9):894–7.
Conroy R, Lee EU, Jean A, et al. Effect of laparoscopic adjustable gastric banding on metabolic syndrome ant its risks factors in morbidly obese adolescents. J Obes. 2011;2011:1–8.
Inge TH, Krebs NF, Garcia VF, et al. Bariatric surgery for severely overweight adolescents: concerns and recommendations. Pediatrics. 2004;114:217–22.
Whitaker RC. Predicting preschooler obesity at birth: the role of maternal obesity in early pregnancy. Pediatrics. 2004;114(1):e29–36.
Boney CM, Verma A, Tucker R, et al. Metabolic syndrome in childhood: association with birth weight, maternal obesity, and gestational diabetes mellitus. Pediatrics. 2005;115:e290–6.
Catalano PM. Management of obesity in pregnancy. Obstet Gynecol. 2007;109(2 Pt 1):419–33.
Catalano PM. Obesity, insulin resistance, and pregnancy outcome. Reproduction. 2010;140:365–71.
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Silva, G.M.M., Osório, A., Pereira, F. et al. Effect of Laparoscopic Adjustable Gastric Banding on Modifiable Cardiovascular Risk Factors in Extremely Obese Adolescents. OBES SURG 22, 991–994 (2012). https://doi.org/10.1007/s11695-012-0642-z
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DOI: https://doi.org/10.1007/s11695-012-0642-z