Dolan Kevin, Creighton Lisa, Hopkins George, Fielding George
Department of Surgery, Royal Brisbane Hospital, Queensland, Australia.
Obes Surg. 2003 Feb;13(1):101-4. doi: 10.1381/096089203321136674.
4% of adolescents in the U.S.A. are obese, 80% of whom will become obese adults. Obesity in adolescence is associated with increased mortality and morbidity in adulthood. Is laparoscopic adjustable silicone gastric banding a safe and effective method of weight loss in morbidly obese adolescents?
Since 1996, data has been prospectively collected on all patients undergoing laparoscopic adjustable gastric banding (LAGB) by a single surgeon. Patients are reviewed at 6 and 12 weeks following surgery, then at 3 monthly intervals. Weight loss is measured in absolute terms, reduction in body mass index (BMI) and as percentage of excess weight loss.
17 patients with a median age of 17 (12 to 19) years underwent LAGB. Median follow-up was 25 (12 to 46) months. 2 complications occurred, 1 slipped band and 1 leaking port. BMI fell from a preoperative median of 44.7 to 30.2 kg/m2 at 24 months following surgery, corresponding to a median loss of 35.6 kg or 59.3% of excess weight. 13 of 17 patients (76.5%) lost at least 50% of their excess weight, and 9 of 11 patients (81.8%) had a BMI < 35 kg/m2 at 24 months following surgery.
LAGB is a safe and effective method of weight loss in morbidly obese adolescents, at least in the medium term. Its role in preventing obesity and obesity-related disease in adulthood remains to be determined as part of our long-term study.
美国4%的青少年肥胖，其中80%将成为肥胖的成年人。青少年肥胖与成年期死亡率和发病率增加有关。腹腔镜可调节硅胶胃束带术对于病态肥胖青少年来说是一种安全有效的减肥方法吗？
自1996年以来，由一名外科医生前瞻性收集了所有接受腹腔镜可调节胃束带术（LAGB）患者的数据。术后6周和12周对患者进行复查，然后每3个月复查一次。通过绝对体重减轻、体重指数（BMI）降低以及超重减轻百分比来衡量体重减轻情况。
17例患者接受了LAGB，中位年龄为17岁（12至19岁）。中位随访时间为25个月（12至46个月）。发生了2例并发症，1例束带滑脱，1例端口渗漏。术后24个月时，BMI从术前的中位值44.7降至30.2kg/m²，相应的中位体重减轻35.6kg，或超重的59.3%。17例患者中有13例（76.5%）超重减轻至少50%，11例患者中有9例（81.8%）在术后24个月时BMI<35kg/m²。
至少在中期，LAGB是病态肥胖青少年安全有效的减肥方法。作为我们长期研究的一部分，其在预防成年期肥胖及肥胖相关疾病方面的作用仍有待确定。
