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Laparoscopically Performed Gastric Banding in A 13 Year-Old Girl With Morbid Obesity And End Stage Renal Insufficiency Allows Lifesaving Weight Loss And Hemodialysis

In adults, laparoscopic gastric banding is applied to treat morbid obesity, usually in combination with dietary and psychological intervention and increased physical exercise. However, little information is available on gastric banding in children.

Method

The 13 year-old girl suffered from end stage renal failure. Complications with hemodialysis catheters due to her extensive subcutaneous fat pads led to a life-threatening deterioration of her uremia. Intensive conventional schedules for weight reduction failed to be effective, so the morbidly obese girl underwent laparoscopic gastric banding at the age of 13 years after informed parental consent was obtained.

Results

After laparoscopic gastric banding there was a notable weight loss of 14 kg and an eventually adequate hemodialysis was possible. Total weight loss of the now 15 year-old girl was 24 kg.

Conclusion

Even in childhood, laparoscopic gastric banding may be considered in cases of morbid obesity in critically ill patients.

Source:
Knerr I, Horbach T, Plank C, Carbon R, Nusken KD, Rascher W, Dotsch J. Department of Pediatrics, University of Erlangen-Nuremberg, Germany.

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Laparoscopic or open bariatric surgery, such as gastric banding or bypass is not an easy solution to morbid obesity and weight loss. It is a serious surgical procedure, involving health risks. To produce lasting weight loss it requires a long-term patient commitment to eating a healthy diet and following a regular program of physical exercise. Life-long use of nutritional supplements may also be necessary. So, before deciding, discuss your options fully with your doctor. © 2003-2008 Bariatric-Surgery.Info - Terms - Contact - Information - Resources - Add URL