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Weight Loss Surgery for Teens
Although the numbers
are still relatively small, it is estimated
that as many as 150 U.S. adolescents have
had bariatric or gastric bypass surgery,
commonly known as “stomach stapling.”
Until very recently, doctors
refused to perform weight loss surgery on
young men and women under the age of 16,
in large part because continued growth would
result in complications, and also because
patients must follow very specific pre-
and post-surgery dietary regimens –
something many young people have a hard
time doing. But recent advances in the procedure,
such as gastric banding, coupled with an
increasing number of acute cases in teens,
such as obstructive sleep apnea, which is
associated with high mortality, have led
doctors to recommend the procedure for their
young patients.
However, for extremely
overweight or obese teens, weight loss surgery
is an increasingly viable option. If appropriate
behaviors are observed pre- and post-surgery,
weight loss can be dramatic. A study by
Rand and Macgregor reported a 6-year follow-up
of 34 adolescents who underwent weight loss
surgery between the ages of 11 and 19. Average
body mass index before the procedure was
47 kg/m2. At follow-up the mean BMI was
32 kg/m2.
More and more health insurers
are covering the cost of the procedure,
which averages around $30,000. However,
health insurers may also require that prospective
patients first attempt an intensive residential
weight loss program in order to qualify
for coverage.
In general, however,
the medical profession continues to view
bariatric surgery as a procedure
of last resort for obese young
people – something to try when everything
else has failed and the obesity has reached
life-threatening proportions. It is unlikely
that bariatric surgery will become a generally
accepted way of controlling weight for adolescents.
So if you’re thinking about bariatric
surgery, you might want to first think look
into a residential weight loss program such
as a weight loss camp.
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