Gastric Banding Surgery for Teens
What is gastric banding surgery for teens?
Gastric banding is a form of weight-loss (bariatric) surgery. It’s used to treat people
with severe obesity who haven’t been able to lose weight through diet and exercise
alone. It’s most often done in adults. But in some cases it may be a treatment choice
for a teen.
A gastric band is a soft, rubbery
circle made of silicone. The band is attached to a thin, flexible tube (catheter).
tube is connected to a small, round port. During surgery, the band is put around the
stomach, near the top. The port is put under the skin below the rib cage. Saline
solution is injected with a needle and syringe into the port and goes through the
to fill the band. The fluid makes the band expand and squeeze tighter. A healthcare
provider can control the size of the band by adding or removing saline through the
after the surgery.
When saline is added, the band tightens around the top of the stomach. This creates
a small pouch where food goes during a meal. The food then slowly moves down into
the rest of the stomach and is digested over time. The pouch is smaller than a whole
stomach. So it makes a person full more quickly. It limits the amount of food he or
she can eat.
After surgery, the band may need to
be adjusted. This requires regular follow-up visits to a healthcare provider and
injection or removal of saline through the skin into the port. At some point years
surgery, many bands will need to be replaced. This is done with another surgery.
Why might my teen need gastric banding surgery?
Gastric bands are not yet approved by the FDA for use on anyone age 18 or younger.
The surgery can still be done. But there is not enough research yet on how it may
help or harm teens. Some studies suggest that weight-loss surgery may improve the
health of obese teens. A teen may be able to bypass health problems linked to obesity.
These include type 2 diabetes, sleep apnea, high blood pressure, and heart disease.
The surgery may also help lessen social problems, such as being bullied. But experts
are not sure about the long-term results of gastric banding for a teen’s developing
Because the long-term results of weight-loss surgery for teens are not yet known,
a healthcare provider will recommend the surgery only in special cases. A healthcare
provider may advise surgery for a teen who has a body mass index (BMI) of 40 to 50
or more. Or surgery may be advised for a teen with a BMI of 35 to 40 or more and other
health problems such as type 2 diabetes or sleep apnea. Surgery is considered if a
teen has tried other ways to lose weight with no success.
Deciding whether your teen should have gastric banding surgery is complicated. Work
with your child’s healthcare providers, talk with your teen, and spend time learning
about the surgery and life after surgery. Together you can all figure out if surgery
is the right choice for your teen.
What are the risks of gastric banding surgery for a teen?
Like all kinds of surgery, weight-loss surgery has risks. The risks of gastric banding
Too much bleeding. Your teen may need
a transfusion or more surgery. Too much bleeding can be fatal.
Blood clots in the legs that can
travel to the lungs
Risks of anesthesia, including death
After surgery, the risks include:
Gastroesophageal reflux disease (GERD)
Belly (abdominal) pain
Saline leaking from the gastric band
Stretching of the stomach or esophagus, leading to weight regain
The band eroding into the stomach tissue
The band slipping out of place
Need for more surgery to fix problems
How do I help my teen get ready for gastric banding surgery?
Before having this surgery, your child should:
Have reached physical growth at near-final adult height
Be mentally and emotionally mature
Understand and be ready to commit to lifestyle changes
Have the support of his or her family
A teen should not have the surgery if he or she has any of the following:
Lack of interest in following the diet changes needed after surgery
An untreated eating disorder or mental illness
Is pregnant or breastfeeding
A gastric banding procedure is a major life change. Your teen will likely be asked
to take classes to get ready for life after the surgery. He or she will learn new
ways of eating and drinking, and will need to commit to those changes to make the
surgery a success.
After surgery, the small pouch at the top of the stomach fills up quickly. Your child
will only be able to eat small amounts of food. Eating too much can lead to vomiting
and other problems. Your teen will also need to take daily vitamin and mineral supplements.
These are things that some children may not want to do, or may not remember to do.
Talk with your teen about all the changes that the surgery will mean. You can also
ask your child’s healthcare provider about local weight-loss surgery support groups.
These can help your teen meet others who have had the surgery, and ask questions about
what it’s like before making a decision. You may also want to contact a dietitian
who can work with your child before and after surgery.
To get ready for the procedure, your teen will need to:
Have a physical exam
Have blood tests, ultrasound, and other tests to make sure he or she is healthy enough
Talk with a mental health counselor to make sure he or she is ready for surgery
Go to nutrition classes or meet with a dietitian
Meet any other requirements as noted by healthcare providers
Your child will also need to:
Not take certain medicines during the week before surgery, such as ibuprofen
Follow any directions for not eating or drinking before surgery
What happens during gastric banding surgery for a teen?
A gastric banding surgery takes about 30 minutes to 60 minutes. It follows this general
An IV (intravenous) line is put into your child’s arm or hand. Medicine and fluids
are sent through the IV. Your child will be given medicine (general anesthesia) to
cause him or her to sleep through the surgery.
The surgeon will make 1 to 5 small cuts in the belly. Through these small cuts, the
surgeon uses small tools to do the surgery. These include a small camera that lets
the surgeon see the surgery.
The surgeon will put the band around the top part of the stomach. The port is placed
under the skin, below the rib cage.
The small cuts are closed with stitches (sutures) or surgical glue. Bandages are placed
on the cuts.
After the surgery, your teen is taken to a recovery room. He or she is watched by
a healthcare provider, and then sent to a hospital room.
What happens after gastric banding surgery for a teen?
Your child will likely stay in the hospital overnight. He or she will feel some pain
and discomfort after surgery. This is normal. It is treated with pain medicine. The
healthcare team may also have your teen up and walking a few hours after surgery.
This will help your child recover faster.
On the day after surgery, your teen will likely have an X-ray. It makes sure that
the gastric band is working normally. He or she may be asked to swallow a liquid that
can be seen on the X-ray.
When it’s time for your child to go home, you’ll be given instructions for how to
care for your child’s incisions, and when to call the healthcare team.
After recovering from the surgery, your teen will need to:
Chew food completely
Learn how much food he or she can eat
Make healthy food choices
Not eat certain foods
Get regular physical activity
See a dietitian and other healthcare providers as often as needed
Have adjustments made to the band as needed
Have the band replaced when needed
Before you agree to the test or the procedure for your child make sure you know:
The name of the test or procedure
The reason your child is having the test or procedure
What results to expect and what they mean
The risks and benefits of the test or procedure
When and where your child is to have the test or procedure
Who will do the procedure and what that person’s qualifications are
What would happen if your child did not have the test or procedure
Any alternative tests or procedures to think about
When and how will you get the results
Who to call after the test or procedure if you have questions or your child has problems
How much will you have to pay for the test or procedure