Skip to main content
Erschienen in: Obesity Surgery 11/2016

13.04.2016 | Original Contributions

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

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

Erschienen in: Obesity Surgery | Ausgabe 11/2016

Einloggen, um Zugang zu erhalten

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.
Literatur
1.
Zurück zum Zitat Huang R, Beilin L. Adolescent BMI is independently associated with the development of coronary hearth disease. Evid Based Med. 2012;17(1):35–6.PubMedCrossRef Huang R, Beilin L. Adolescent BMI is independently associated with the development of coronary hearth disease. Evid Based Med. 2012;17(1):35–6.PubMedCrossRef
2.
Zurück zum Zitat Schwimmer JB, Burwinkle TM, Varni JW. Health-related quality of life of severely obese children and adolescents. J Am Med Assoc. 2003;289(14):1813–9.CrossRef Schwimmer JB, Burwinkle TM, Varni JW. Health-related quality of life of severely obese children and adolescents. J Am Med Assoc. 2003;289(14):1813–9.CrossRef
4.
Zurück zum Zitat Neumark-Sztainer D et al. Weight-teasing among adolescents: correlations with weight status and disordered eating behaviors. Int J Obes (Lond). 2002;26:123–31.CrossRef Neumark-Sztainer D et al. Weight-teasing among adolescents: correlations with weight status and disordered eating behaviors. Int J Obes (Lond). 2002;26:123–31.CrossRef
5.
Zurück zum Zitat Britz B et al. Rates of psychiatric disorders in a clinical study group of adolescents with extreme obesity and in obese adolescents ascertained via a population based study. Int J Obes (Lond). 2000;24:1707–14.CrossRef Britz B et al. Rates of psychiatric disorders in a clinical study group of adolescents with extreme obesity and in obese adolescents ascertained via a population based study. Int J Obes (Lond). 2000;24:1707–14.CrossRef
6.
Zurück zum Zitat Puhl, R.M., C.A. Heuer, and K.D. Brownell, Stigma and social consequences of obesity, in Clinical obesity in adults and children, P.G. Kopelman, I.D. Caterson, and W.H. Dietz, Editors. 2010, Blackwell Puhl, R.M., C.A. Heuer, and K.D. Brownell, Stigma and social consequences of obesity, in Clinical obesity in adults and children, P.G. Kopelman, I.D. Caterson, and W.H. Dietz, Editors. 2010, Blackwell
7.
Zurück zum Zitat Murtagh J, Dixey R, Rudolf M. A qualitative investigation into the levers and barriers to weight loss in children: opinions of obese children. Arch Dis Child. 2006;91(11):920–3.PubMedPubMedCentralCrossRef Murtagh J, Dixey R, Rudolf M. A qualitative investigation into the levers and barriers to weight loss in children: opinions of obese children. Arch Dis Child. 2006;91(11):920–3.PubMedPubMedCentralCrossRef
8.
Zurück zum Zitat Stewart L et al. Parents’ journey through treatment for their child’s obesity: a qualitative study. Arch Dis Child. 2008;93:35–9.PubMedCrossRef Stewart L et al. Parents’ journey through treatment for their child’s obesity: a qualitative study. Arch Dis Child. 2008;93:35–9.PubMedCrossRef
9.
Zurück zum Zitat Oude Luttikhuis H et al. Interventions for treating obesity in children. Cochrane Database Syst Rev. 2009;1. Oude Luttikhuis H et al. Interventions for treating obesity in children. Cochrane Database Syst Rev. 2009;1.
10.
Zurück zum Zitat Tsai WS, Inge TH, Burd RS. Bariatric surgery in adolescents. Arch Pediatr Adolesc Med. 2007;161:217–21.PubMedCrossRef Tsai WS, Inge TH, Burd RS. Bariatric surgery in adolescents. Arch Pediatr Adolesc Med. 2007;161:217–21.PubMedCrossRef
11.
Zurück zum Zitat O’Brien P et al. Long-term outcomes after bariatric surgery. Ann Surg. 2013;257(1):87–94.PubMedCrossRef O’Brien P et al. Long-term outcomes after bariatric surgery. Ann Surg. 2013;257(1):87–94.PubMedCrossRef
12.
Zurück zum Zitat Aikenhead A, C Knai, and T. Lobstein, Do surgical interventions to treat obesity in children and adolescents have long- versus short-term advantages and are they cost-effective? 2012, World Health Organization. Aikenhead A, C Knai, and T. Lobstein, Do surgical interventions to treat obesity in children and adolescents have long- versus short-term advantages and are they cost-effective? 2012, World Health Organization.
13.
Zurück zum Zitat Pallati P et al. Trends in adolescent bariatric surgery evaluated by UHC database collection. Surg Endosc. 2012;26(11):3077–81.PubMedCrossRef Pallati P et al. Trends in adolescent bariatric surgery evaluated by UHC database collection. Surg Endosc. 2012;26(11):3077–81.PubMedCrossRef
14.
Zurück zum Zitat Black, J.A., et al. Bariatric surgery for obese children and adolescents: a systematic review and meta-analysis. Obesity Reviews, 2013. Black, J.A., et al. Bariatric surgery for obese children and adolescents: a systematic review and meta-analysis. Obesity Reviews, 2013.
15.
Zurück zum Zitat Treadwell JR, Sun F, Schoelles K. Systematic review and meta-analysis of bariatric surgery for pediatric obesity. Ann Surg. 2008;248(5):763–76.PubMedCrossRef Treadwell JR, Sun F, Schoelles K. Systematic review and meta-analysis of bariatric surgery for pediatric obesity. Ann Surg. 2008;248(5):763–76.PubMedCrossRef
16.
Zurück zum Zitat Willcox K and L Brennan. Biopsychosocial outcomes of laparoscopic adjustable gastric banding in adolescents: a systematic review of the literature. Obesity Surgery, 2014: p. 1-10. Willcox K and L Brennan. Biopsychosocial outcomes of laparoscopic adjustable gastric banding in adolescents: a systematic review of the literature. Obesity Surgery, 2014: p. 1-10.
17.
Zurück zum Zitat O’Brien PE et al. Laparoscopic adjustable gastric banding in severely obese adolescents: a randomized trial. J Am Med Assoc. 2010;303(6):519–26.CrossRef O’Brien PE et al. Laparoscopic adjustable gastric banding in severely obese adolescents: a randomized trial. J Am Med Assoc. 2010;303(6):519–26.CrossRef
18.
Zurück zum Zitat Vazzana AD. Psychological outcomes of bariatric surgery in morbidly obese adolescents. Prim Psychiatry. 2008;15(8):68–73. Vazzana AD. Psychological outcomes of bariatric surgery in morbidly obese adolescents. Prim Psychiatry. 2008;15(8):68–73.
19.
Zurück zum Zitat Borrell-Carrio F, Suchman AL, Epstein RM. The biopsychosocial model 25 years later: principles, practice and scientific enquiry. Ann Fam Med. 2004;2(6):576–82.PubMedPubMedCentralCrossRef Borrell-Carrio F, Suchman AL, Epstein RM. The biopsychosocial model 25 years later: principles, practice and scientific enquiry. Ann Fam Med. 2004;2(6):576–82.PubMedPubMedCentralCrossRef
20.
Zurück zum Zitat Poole NA et al. Compliance with surgical after-care following bariatric surgery for morbid obesity: a retrospective study. Obes Surg. 2005;15:261–5.PubMedCrossRef Poole NA et al. Compliance with surgical after-care following bariatric surgery for morbid obesity: a retrospective study. Obes Surg. 2005;15:261–5.PubMedCrossRef
21.
Zurück zum Zitat Zitsman JL et al. Laparoscopic adjustable gastric banding in adolescents: short-term results. J Pediatr Surg. 2011;46(1):157–62.PubMedCrossRef Zitsman JL et al. Laparoscopic adjustable gastric banding in adolescents: short-term results. J Pediatr Surg. 2011;46(1):157–62.PubMedCrossRef
22.
Zurück zum Zitat Dillard BE et al. Initial experience with the adjustable gastric band in morbidly obese US adolescents and recommendations for further investigation. J Pediatr Gastroenterol Nutr. 2007;45(2):240–6.PubMedCrossRef Dillard BE et al. Initial experience with the adjustable gastric band in morbidly obese US adolescents and recommendations for further investigation. J Pediatr Gastroenterol Nutr. 2007;45(2):240–6.PubMedCrossRef
23.
Zurück zum Zitat Britten N. Qualitative research on health communication: what can it contribute? Patient Educ Couns. 2011;82:384–8.PubMedCrossRef Britten N. Qualitative research on health communication: what can it contribute? Patient Educ Couns. 2011;82:384–8.PubMedCrossRef
24.
Zurück zum Zitat Noyes J. et al. Qualitative research and Cochrane reviews, in Cochrane handbook for systematic reviews of interventions, J.P.T. Higgins and S. Green, Editors. 2009, The Cochrane Collaboration. Noyes J. et al. Qualitative research and Cochrane reviews, in Cochrane handbook for systematic reviews of interventions, J.P.T. Higgins and S. Green, Editors. 2009, The Cochrane Collaboration.
25.
Zurück zum Zitat Candy B, King M, Jones L, Oliver S. Using qualitative synthesis to explore heterogeneity of complex interventions. BMC Med Res Methodol. 2011;11:1.CrossRef Candy B, King M, Jones L, Oliver S. Using qualitative synthesis to explore heterogeneity of complex interventions. BMC Med Res Methodol. 2011;11:1.CrossRef
26.
Zurück zum Zitat Lincoln YS, Guba EG, Inquiry N. Newbury Park. CA: Sage; 1985. Lincoln YS, Guba EG, Inquiry N. Newbury Park. CA: Sage; 1985.
27.
Zurück zum Zitat Guest G, Bunce A, Johson L. How many interviews are enough? An experiment with data saturation and variability. Field Methods. 2006;18(59):59–82.CrossRef Guest G, Bunce A, Johson L. How many interviews are enough? An experiment with data saturation and variability. Field Methods. 2006;18(59):59–82.CrossRef
28.
Zurück zum Zitat Charmaz K. Qualitative interviewing and grounded theory analysis. In: Gubrium JF, Holstein JA, editors. Handbook of interview research: context & method. Thousand Oaks: CA: Sage; 2005. Charmaz K. Qualitative interviewing and grounded theory analysis. In: Gubrium JF, Holstein JA, editors. Handbook of interview research: context & method. Thousand Oaks: CA: Sage; 2005.
29.
Zurück zum Zitat Ezzy D, Liamputtong P. Qualitative research methods. 2nd ed. South Melbourne: Oxford University Press; 2005. Ezzy D, Liamputtong P. Qualitative research methods. 2nd ed. South Melbourne: Oxford University Press; 2005.
30.
Zurück zum Zitat Braun V, Clarke V. Using thematic analysis in psychology. Qual Res Psychol. 2006;3(2):77--101. Braun V, Clarke V. Using thematic analysis in psychology. Qual Res Psychol. 2006;3(2):77--101.
31.
Zurück zum Zitat Braun V, Clarke V. Successful qualitative research: A practical guide for beginners. London:Sage;2013. Braun V, Clarke V. Successful qualitative research: A practical guide for beginners. London:Sage;2013.
32.
Zurück zum Zitat Pontiroli AE et al. Post-surgery adherence to scheduled visits and compliance, more than personality disorders, predict outcomes of bariatric restrictive surgery in morbidly obese patients. Obes Surg. 2007;17(11):1492–7.PubMedCrossRef Pontiroli AE et al. Post-surgery adherence to scheduled visits and compliance, more than personality disorders, predict outcomes of bariatric restrictive surgery in morbidly obese patients. Obes Surg. 2007;17(11):1492–7.PubMedCrossRef
33.
Zurück zum Zitat van Hout GC, Verschure SK, Van Heck GL. Psychosocial predictors of success following bariatric surgery. Obes Surg. 2005;15(4):552–60.PubMedCrossRef van Hout GC, Verschure SK, Van Heck GL. Psychosocial predictors of success following bariatric surgery. Obes Surg. 2005;15(4):552–60.PubMedCrossRef
34.
Zurück zum Zitat Odom J et al. Behavioral predictors of weight regain after bariatric surgery. Obes Surg. 2010;20(3):349–56.PubMedCrossRef Odom J et al. Behavioral predictors of weight regain after bariatric surgery. Obes Surg. 2010;20(3):349–56.PubMedCrossRef
35.
Zurück zum Zitat van Geelen SM et al. The controversy over pediatric bariatric surgery. Bioethical Inq. 2013;10:227–37.CrossRef van Geelen SM et al. The controversy over pediatric bariatric surgery. Bioethical Inq. 2013;10:227–37.CrossRef
36.
Zurück zum Zitat Elkins G et al. Noncompliance with behavioral recommendations following bariatric surgery. Obes Surg. 2005;15:546–51.PubMedCrossRef Elkins G et al. Noncompliance with behavioral recommendations following bariatric surgery. Obes Surg. 2005;15:546–51.PubMedCrossRef
37.
Zurück zum Zitat Moroshko I, Brennan L, O’Brien P. Predictors of attrition in bariatric aftercare: a systematic review of the literature. Obes Surg. 2012;22(10):1640–7.PubMedCrossRef Moroshko I, Brennan L, O’Brien P. Predictors of attrition in bariatric aftercare: a systematic review of the literature. Obes Surg. 2012;22(10):1640–7.PubMedCrossRef
38.
Zurück zum Zitat D’Agostino NM, Penney A, Zebrack B. Providing developmentally appropriate psychosocial care to adolescent and young adult cancer survivors. Cancer. 2011;117(10 suppl):2319–34. D’Agostino NM, Penney A, Zebrack B. Providing developmentally appropriate psychosocial care to adolescent and young adult cancer survivors. Cancer. 2011;117(10 suppl):2319–34.
39.
Zurück zum Zitat Nicholas D et al. Evaluation of an online education and support intervention for adolescents with diabetes. Soc Work Health Care. 2012;51:815–27.PubMedCrossRef Nicholas D et al. Evaluation of an online education and support intervention for adolescents with diabetes. Soc Work Health Care. 2012;51:815–27.PubMedCrossRef
40.
Zurück zum Zitat Treadgold CL, Kuperberg A. Been there, done that, wrote the blog: the choices and challenges of supporting adolescents and young adults with cancer. J Clin Oncol. 2010;28(32):3842–4849.CrossRef Treadgold CL, Kuperberg A. Been there, done that, wrote the blog: the choices and challenges of supporting adolescents and young adults with cancer. J Clin Oncol. 2010;28(32):3842–4849.CrossRef
41.
Zurück zum Zitat Sutton D, Raines DA. Health-related quality of life: physical and mental functioning after bariatric surgery. Bariatric Nurs Surgical Patient Care. 2008;3(4):271–7.CrossRef Sutton D, Raines DA. Health-related quality of life: physical and mental functioning after bariatric surgery. Bariatric Nurs Surgical Patient Care. 2008;3(4):271–7.CrossRef
42.
Zurück zum Zitat Song Z et al. Association between support group attendance and weight loss after Roux-en-Y gastric bypass. Surg Obes Relat Dis. 2008;4(2):100–3.PubMedCrossRef Song Z et al. Association between support group attendance and weight loss after Roux-en-Y gastric bypass. Surg Obes Relat Dis. 2008;4(2):100–3.PubMedCrossRef
43.
Zurück zum Zitat Elakkary E, Gazayerli MM. Laparoscopic adjustable gastric band: do support groups add to the weight loss? Obes Surg. 2004;14:1139–40.PubMedCrossRef Elakkary E, Gazayerli MM. Laparoscopic adjustable gastric band: do support groups add to the weight loss? Obes Surg. 2004;14:1139–40.PubMedCrossRef
44.
Zurück zum Zitat Whitney S et al. Support group meeting attendance is associated with better weight loss. Obes Surg. 2008;18(4):391–4.CrossRef Whitney S et al. Support group meeting attendance is associated with better weight loss. Obes Surg. 2008;18(4):391–4.CrossRef
45.
Zurück zum Zitat Puhl RM, Brownell KD. Confronting and coping with weight stigma: an investigation of overweight and obese adults. Obesity. 2006;14(10):1802–15.PubMedCrossRef Puhl RM, Brownell KD. Confronting and coping with weight stigma: an investigation of overweight and obese adults. Obesity. 2006;14(10):1802–15.PubMedCrossRef
46.
Zurück zum Zitat Fardouly J, Vartanian LR. Changes in weight bias following weight loss: the impact of weight loss method. Int J Obes (Lond). 2012;36:314–9.CrossRef Fardouly J, Vartanian LR. Changes in weight bias following weight loss: the impact of weight loss method. Int J Obes (Lond). 2012;36:314–9.CrossRef
47.
Zurück zum Zitat Bocchieri LE, Meana M, Fisher BL. Perceived psychosocial outcomes of gastric bypass surgery: a qualitative study. Obes Surg. 2002;12:781–8.PubMedCrossRef Bocchieri LE, Meana M, Fisher BL. Perceived psychosocial outcomes of gastric bypass surgery: a qualitative study. Obes Surg. 2002;12:781–8.PubMedCrossRef
48.
Zurück zum Zitat Radzik M, Sherer M, Neinstein L. Psychosocial development in normal adolescents. In: Neinstein L, editor. Adolescent health care: a practical guide. Philadelphia: Lippincott Williams and Wilkins; 2002. Radzik M, Sherer M, Neinstein L. Psychosocial development in normal adolescents. In: Neinstein L, editor. Adolescent health care: a practical guide. Philadelphia: Lippincott Williams and Wilkins; 2002.
Metadaten
Titel
Patient and Parent Perspectives of Adolescent Laparoscopic Adjustable Gastric Banding (LAGB)
verfasst von
Kim Willcox
Narelle Warren
Paul O’Brien
Wendy Brown
Peter Nottle
Jason Winnett
Ahmad Aly
Leah Brennan
Publikationsdatum
13.04.2016
Verlag
Springer US
Erschienen in
Obesity Surgery / Ausgabe 11/2016
Print ISSN: 0960-8923
Elektronische ISSN: 1708-0428
DOI
https://doi.org/10.1007/s11695-016-2156-6

Weitere Artikel der Ausgabe 11/2016

Obesity Surgery 11/2016 Zur Ausgabe

Update Chirurgie

Bestellen Sie unseren Fach-Newsletter und bleiben Sie gut informiert.

S3-Leitlinie „Diagnostik und Therapie des Karpaltunnelsyndroms“

CME: 2 Punkte

Prof. Dr. med. Gregor Antoniadis Das Karpaltunnelsyndrom ist die häufigste Kompressionsneuropathie peripherer Nerven. Obwohl die Anamnese mit dem nächtlichen Einschlafen der Hand (Brachialgia parästhetica nocturna) sehr typisch ist, ist eine klinisch-neurologische Untersuchung und Elektroneurografie in manchen Fällen auch eine Neurosonografie erforderlich. Im Anfangsstadium sind konservative Maßnahmen (Handgelenksschiene, Ergotherapie) empfehlenswert. Bei nicht Ansprechen der konservativen Therapie oder Auftreten von neurologischen Ausfällen ist eine Dekompression des N. medianus am Karpaltunnel indiziert.

Prof. Dr. med. Gregor Antoniadis
Berufsverband der Deutschen Chirurgie e.V.

S2e-Leitlinie „Distale Radiusfraktur“

CME: 2 Punkte

Dr. med. Benjamin Meyknecht, PD Dr. med. Oliver Pieske Das Webinar S2e-Leitlinie „Distale Radiusfraktur“ beschäftigt sich mit Fragen und Antworten zu Diagnostik und Klassifikation sowie Möglichkeiten des Ausschlusses von Zusatzverletzungen. Die Referenten erläutern, welche Frakturen konservativ behandelt werden können und wie. Das Webinar beantwortet die Frage nach aktuellen operativen Therapiekonzepten: Welcher Zugang, welches Osteosynthesematerial? Auf was muss bei der Nachbehandlung der distalen Radiusfraktur geachtet werden?

PD Dr. med. Oliver Pieske
Dr. med. Benjamin Meyknecht
Berufsverband der Deutschen Chirurgie e.V.

S1-Leitlinie „Empfehlungen zur Therapie der akuten Appendizitis bei Erwachsenen“

CME: 2 Punkte

Dr. med. Mihailo Andric
Inhalte des Webinars zur S1-Leitlinie „Empfehlungen zur Therapie der akuten Appendizitis bei Erwachsenen“ sind die Darstellung des Projektes und des Erstellungswegs zur S1-Leitlinie, die Erläuterung der klinischen Relevanz der Klassifikation EAES 2015, die wissenschaftliche Begründung der wichtigsten Empfehlungen und die Darstellung stadiengerechter Therapieoptionen.

Dr. med. Mihailo Andric
Berufsverband der Deutschen Chirurgie e.V.