RT Journal
A1 Richardson LA
T1 LAparoscopic gastric banding vs lifestyle intervention in severely obese adolescents
JF JAMA
JO JAMA
YR 2010
FD June 16
VO 303
IS 23
SP 2356
OP 2356
DO 10.1001/jama.2010.781
UL http://dx.doi.org/10.1001/jama.2010.781
AB 
The lifestyle group in the study was allowed a wide variation of diets, as well as inadequate exercise requirements and little physician supervision; it was not offered a comprehensive weight management program, which should include counseling on diet and nutrition, exercise, behavior, and prescription medications if needed. The gastric banding program was based on a much more structured system, including specific protein-rich meals and periodic band adjustments. Had the lifestyle group received adequately clinical monitoring, the results may have been quite different.