9 Years after the First Laparoscopic Adjusted Gastric Banding (LAGB) in Adolescents: The Portuguese Experience

Osório, Angélica; Moreira-Pinto, João; Pereira, Juan Pablo Scarano; Silva, G.; Bonet, B.; Cidade-Rodrigues, J. A.; Ferreira-de-Sousa, J. A.; Enes, Carlos; Mansilha, Helena Ferreira

doi:10.1055/s-0031-1277211

Cited by 9 publications

(9 citation statements)

References 6 publications

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“…Two additional papers were retrieved during full text screening. One potentially relevant paper could not be sourced , and one was collected via contacting the author . A total of 54 papers met the inclusion criteria, representing 23 unique study populations.…”

Section: Resultsmentioning

confidence: 99%

Bariatric surgery for obese children and adolescents: a systematic review and meta‐analysis

et al. 2013

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The number of obese young people continues to rise, with a corresponding increase in extreme obesity and paediatric-adolescent bariatric surgery. We aimed to (i) systematically review the literature on bariatric surgery in children and adolescents; (ii) meta-analyse change in body mass index (BMI) 1-year post-surgery and (iii) report complications, co-morbidity resolution and health-related quality of life (HRQoL). A systematic literature search (1955-2013) was performed to examine adjustable gastric band, sleeve gastrectomy, Roux-en-Y gastric bypass or biliopancreatic diversions operations among obese children and adolescents. Change in BMI a year after surgery was meta-analysed using a random effects model. In total, 637 patients from 23 studies were included in the meta-analysis. There were significant decreases in BMI at 1 year (average weighted mean BMI difference: -13.5 kg m(-2) ; 95% confidence interval [CI] -14.1 to -11.9). Complications were inconsistently reported. There was some evidence of co-morbidity resolution and improvements in HRQol post-surgery. Bariatric surgery leads to significant short-term weight loss in obese children and adolescents. However, the risks of complications are not well defined in the literature. Long-term, prospectively designed studies, with clear reporting of complications and co-morbidity resolution, alongside measures of HRQol, are needed to firmly establish the harms and benefits of bariatric surgery in children and adolescents.

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Section: Resultsmentioning

confidence: 99%

Bariatric surgery for obese children and adolescents: a systematic review and meta‐analysis

et al. 2013

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“…The majority of studies were from the USA, only three were from Europe, i.e., Austria [ 34 ], Portugal [ 35 ], and Sweden [ 36 ]. Six studies reported data on 173 adolescent patients before bariatric surgery with the number of patients ranging from 10 to 40 [ 34 , 36 , 37 , 38 , 39 , 40 ]; six studies reported data on 227 adolescent patients after bariatric surgery with the number of patients ranging from 10 to 101 [ 35 , 36 , 41 , 42 , 43 , 44 , 45 ]. The gender in all studies was predominantly female, except for one [ 34 ].…”

Section: Resultsmentioning

confidence: 99%

“…The study designs varied between retrospective reviews of clinical charts of patients [ 37 , 38 , 39 , 40 , 45 ], clinical follow-ups after examinations have been carried out [ 34 , 41 ], and prospective feasibility, safety or observational studies [ 35 , 36 , 42 , 43 , 44 ]. Surgical procedures were either LAGB [ 34 , 35 , 37 , 41 , 42 ] or RYGB [ 36 , 39 , 43 , 44 , 45 ] or were not specified [ 38 , 40 ]. Most studies dealt with depressive disorders and depressive disorder symptoms in bariatric surgery patients, while one [ 36 ] described depressive and anxiety disorder symptoms from a pre- and post-operative point of view and another reported on pre-operative eating disorder symptoms [ 34 ].…”

Section: Resultsmentioning

confidence: 99%

“…Studies examining symptoms of anxiety and eating disorders in adolescents before and after bariatric surgery were not identified. Six studies reported on the course of depressive disorder symptoms in adolescent bariatric surgery patients [ 35 , 36 , 41 , 42 , 43 , 44 ] (table 2 ).…”

Section: Resultsmentioning

confidence: 99%

“…In general, prevalence of post-operative depressive disorders or depressive disorder symptoms was higher in female than in male adolescents [ 43 ]. Studies primarily reporting weight loss after bariatric surgery showed inconsistent findings on depressive symptoms of adolescent patients as secondary outcomes [ 35 , 41 ]. Nine months after LAGB, depressive disorder symptoms were completely resolved in one study [ 41 ].…”

Section: Resultsmentioning

confidence: 99%

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Psychosocial Status and Mental Health in Adolescents before and after Bariatric Surgery: A Systematic Literature Review

et al. 2014

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Objective: As long-term results of conservative treatment for obesity are discouraging, bariatric surgery is becoming a treatment option for extremely obese adolescents. However, mental and behavioral problems need to be respected when treating this vulnerable target group. Methods: A detailed systematic literature review on pre- and post-operative depressive, anxiety and eating disorder symptoms of adolescent patients was performed in PsychINFO, PubMed and Medline electronic databases. Results: Twelve studies met the inclusion criteria. Although strength of evidence was limited, results suggested that pre-operatively a third of adolescents suffered from moderate to severe depressive disorder symptoms and a quarter from anxiety disorder symptoms, while a substantial number showed eating disorder symptoms. Post-operatively, levels of depressive disorder symptoms significantly improved. Original articles on outcomes of eating and anxiety disorder symptoms after weight loss surgery were not found. Conclusions: Further attention is needed on consistent clinical assessment of mental health disturbances and their consecutive treatment in adolescents. Future research should also focus on psychological and psychosocial predictors of weight loss after bariatric surgery.

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Long-Term Outcome of Bariatric Surgery in Morbidly Obese Adolescents: a Systematic Review and Meta-Analysis of 950 Patients with a Minimum of 3 years Follow-Up

et al. 2017

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9 Years after the First Laparoscopic Adjusted Gastric Banding (LAGB) in Adolescents: The Portuguese Experience

Cited by 9 publications

References 6 publications

Bariatric surgery for obese children and adolescents: a systematic review and meta‐analysis

Bariatric surgery for obese children and adolescents: a systematic review and meta‐analysis

Psychosocial Status and Mental Health in Adolescents before and after Bariatric Surgery: A Systematic Literature Review

Long-Term Outcome of Bariatric Surgery in Morbidly Obese Adolescents: a Systematic Review and Meta-Analysis of 950 Patients with a Minimum of 3 years Follow-Up

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