To the Editor: In their randomized controlled trial, Dr O’Brien and colleagues1 assessed the effectiveness of laparoscopic gastric banding compared with lifestyle intervention in achieving weight loss in severely obese adolescents. The trial would have been more credible had the study compared gastric banding with a structured nonsurgical, medically managed weight loss program.
Richardson LA. Laparoscopic Gastric Banding vs Lifestyle Intervention in Severely Obese Adolescents. JAMA. 2010;303(23):2356. doi:10.1001/jama.2010.781