Weight Loss and Durability of Gastric Banding in Adolescents with Severe Obesity; 8-year Follow-up of a Randomized Controlled Trial

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Key takeaways

• Laparoscopic adjustable gastric banding showed no significant weight loss advantage over lifestyle intervention alone after 8.7 years in adolescents.
• Band removal rate was 52%, indicating poor durability and high complication rates in the adolescent population.
• Early weight loss benefits (first 2 years) did not persist long-term, questioning LAGB's role in adolescent bariatric surgery.
• Findings support the global decline in LAGB procedures and shift toward more effective bariatric operations for adolescents.
• Study highlights importance of long-term follow-up data when evaluating bariatric interventions in pediatric populations.

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