Lap-Band Surgery - U S Food and Drug Administration Home Page带捆绑手术-美国食品与药物管理局的主页.pptVIP

Lap-Band Surgery for Adolescents NYU Medical Center Program for Surgical Weight Loss George Fielding, MD Associate Professor of Surgery Evan P. Nadler, MD Assistant Professor of Surgery, Director of Minimally Invasive Pediatric Surgery Christine Ren, MD Assistant Professor of Surgery NYU Adolescent Bariatric Experience Three Phases: Brisbane, Australia (1998-2004) n= 41 Off-label experience (2002- 4) n= 41 FDA Study (2005) n=17 Brisbane n=41  17.1 YRS ( 12-19) Y No. Wt (lbs) BMI % EWL 0 41 275 43 1 21 210 32 50 2 18 200 29 69 3 16 200 29 70 4 5 193 29 63 6 3 171 27 65 Teenagers ? Success 80% had lost at least 50% of their excess body weight at 36 months 80% had a BMI 30 kg/m2 at 36 months Visits in 2 yrs: 12.3 (5 - 22) NYU Bariatric Program Largest lap- band experience in world Dedicated to long term follow-up Multi-Disciplinary In-house Nutritional Team Includes Pediatric Surgeon Psych care at NYU Child Study Centre Lap- Band in AdolescentsDemographics n= 58 Gender Female: 46 Male: 12 Age 13yrs 5 14-17 yrs 40 18-19 yrs 13 Race Caucasian 50 Hispanic 5 African American 3 Pre-OP Co-Morbidities Pre-Op Weight and BMI Pre-OP and OP Data Lap BandPeri-operative complications All patients discharged 24 hrs Increasing use of same-day approach Complications Mortality 0 PE 0 Acute re-op 0 Acute readmission 30 days 1 (perforated appendicitis) Follow Up Weight Loss Report Post-OP 1 Year Nutritional Panel 14-17 Years Old n=40 14-17 Years Old Wt Loss Complications Lap – Band ComplicationsReflux (GERD) All patients have yearly esophagrams 4 / 58 patients have complained of reflux symptoms, typically in the evening All 4 then had diagno