Study Proves Bariatric Surgery Can be Safe and Effective for Teens
Historically, pediatricians have been
reluctant to utilize bariatric surgery for teens in Texas due to concerns over
its safety and effectiveness for this age group. A study led by Rutgers has
concluded that for adolescents with persistent, severe obesity bariatric
surgery is justifiable, provided the patient can maintain a healthy lifestyle
after surgery.
Lead author Ahmed Khattab, a physician
at Rutgers Robert Wood Johnson Medical School's Division of Pediatric
Endocrinology reports:
"If we look
at obesity as a disease with the real possibility of eventual organ system
failure and special health concerns for adolescents, we need to ask whether
health care practitioners are doing enough to manage it. The objective evidence
shows that, under the right circumstances and with the right patients, bariatric
surgery is an effective treatment for adolescents with obesity."
Bariatric surgery in teens is shown
through studies to be associated with the remission of a number of health
risks, including type 2 diabetes and abnormal kidney function. Any resulting
nutritional deficiencies have been proven to be effectively addressed with dietary
supplements.
The study by Rutgers found that
bariatric surgery should only be recommended for teens who are close to their
final adult height, are towards the end of puberty; those who have severe
obesity and persistent related complications despite the teen’s compliance with
lifestyle modification programs; and only for those who can demonstrate the
ability to maintain a healthy lifestyle, following a regimented diet and living
habits.
Researchers also found that bariatric
surgery should not be recommended to any patient with unresolved substance
abuse, psychiatric or eating disorders or who have not yet mastered healthy
eating and lifestyle habits.
This study confirms the scant research
available on bariatric surgery in teens and provides another layer of
data-driven guidelines for recommending this surgical procedure in adolescents.
More research is needed in continuing to progress effective treatment methods
for this population.
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