"At entry, 9 participants (36 percent) in the gastric banding group and 10 (40 percent) 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 percent) in the lifestyle group," the authors write. The gastric banding group experienced improved quality of life with no adverse events in the period shortly after surgery. However, 8 operations (33 percent) involving revisional procedures were required in 7 patients in the surgery group.

"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 conclude.

Source: JAMA and Archives Journals