Weight Loss and Durability of Gastric Banding in Adolescents with Severe Obesity; 8-year Follow-up of a Randomized Controlled Trial
Topic overview
This 8-year randomized controlled trial evaluated laparoscopic adjustable gastric banding in adolescents with severe obesity, finding minimal sustained weight loss and a 52% band removal rate. Initial weight loss advantages disappeared after 2 years, supporting the global decline in LAGB use and shift toward more effective bariatric procedures in this population.
Key takeaways
- - Laparoscopic adjustable gastric banding showed no significant weight loss benefit vs lifestyle intervention alone at 8.7-year follow-up - Band removal rate was 52%, indicating poor durability and high complication/failure rates in adolescent patients - Initial 2-year weight loss advantages disappeared by long-term follow-up, questioning LAGB's role in adolescent bariatric surgery - Findings support global decline in LAGB use and shift toward more effective bariatric procedures like sleeve gastrectomy - Long-term RCT data confirm LAGB is not an effective durable solution for severe obesity in adolescents
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How to cite: GlobalCastMD. Weight Loss and Durability of Gastric Banding in Adolescents with Severe Obesity; 8-year Follow-up of a Randomized Controlled Trial. GlobalCastMD Medical Library. 2026-01-31. https://library.globalcastmd.com/article/11445
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