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Obesity Surgery
Published in: Obesity Surgery 11/2016

01-11-2016 | Original Contributions

Patient and Parent Perspectives of Adolescent Laparoscopic Adjustable Gastric Banding (LAGB)

Authors: Kim Willcox, Narelle Warren, Paul O’Brien, Wendy Brown, Peter Nottle, Jason Winnett, Ahmad Aly, Leah Brennan

Published in: Obesity Surgery | Issue 11/2016

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Abstract

Background

Adolescent obesity is a significant global health challenge and severely obese adolescents commonly experience serious medical and psychosocial challenges. Consequently, severe adolescent obesity is increasingly being treated surgically. The limited available research examining the effectiveness of adolescent bariatric surgery focuses primarily on bio-medical outcomes. There is a need for a more comprehensive understanding of the behavioural, emotional and social factors which affect adolescents’ and parents’ experience of weight loss surgery.

Methods

Patient and parents’ perspectives of adolescent LAGB were examined using a qualitative research methodology. Individual, semi-structured interviews were conducted with eight adolescent patients and five parents. Thematic analysis was used to identify key themes in the qualitative data.

Results

Patients and parents generally considered adolescent laparoscopic adjustable gastric banding (LAGB) to be a life-changing experience, resulting in physical and mental health benefits. Factors considered to facilitate weight loss following surgery included parental support and adherence to treatment guidelines. Many adolescents reported experiencing surgical weight loss stigma and challenging interpersonal outcomes after weight loss for which they felt unprepared.

Conclusions

Patients and parents perceived LAGB positively. There are opportunities to improve both the experience and outcomes of adolescent LAGB through parental education and enhancements to surgical aftercare programmes.
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Metadata
Title
Patient and Parent Perspectives of Adolescent Laparoscopic Adjustable Gastric Banding (LAGB)
Authors
Kim Willcox
Narelle Warren
Paul O’Brien
Wendy Brown
Peter Nottle
Jason Winnett
Ahmad Aly
Leah Brennan
Publication date
01-11-2016
Publisher
Springer US
Published in
Obesity Surgery / Issue 11/2016
Print ISSN: 0960-8923
Electronic ISSN: 1708-0428
DOI
https://doi.org/10.1007/s11695-016-2156-6

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