Is Bariatric Surgery A Safe Option For Teens?
Because food is no longer an emotional crutch, teens will be forced to take an honest look at what made them overeat in the first place.
Already considered a drastic procedure to lose weight, bariatric surgery has come back into the spotlight once again. As the number of candidates continues to rise, doctors are noting a sharp increase in recipients who are under the age of 18. Researchers are now stepping in with new information that hopes to answer the question: Just how safe is bariatric surgery for teenagers?
Some scientists say it poses “no greater threat.”
After reviewing the data of nearly 55,000 patients who underwent bariatric surgery between 2002 and 2006, researchers at the University of Texas Southwestern Medical Center went on record as saying that the surgery posed no greater threat to younger patients than it does to older ones.
Another government study released in January revealed that:
- More than 121,000 bariatric surgeries were performed in the United States in 2004.
- 349 of these were performed on children aged 12-17.
Bariatrics is a branch of medicine that deals with the treatment and prevention of obesity. In the United States, it is estimated that more than half the population is overweight and that 15% of children are classified as obese. Surgeries such as gastric bypass and adjustable gastric banding are some of the operative options available to patients.
With gastric bypass surgery, a smaller pouch is created in the stomach that will hold less food than the original shape. Gastric banding works in almost the same way, except a band is fit around the stomach and can be pulled smaller or wider making the shape of the stomach adjustable.
There are numerous medical conditions associated with obesity including:
- Congestive heart disease
- Diabetes
- Low self esteem
There are obvious benefits to having bariatric surgery, but some doctors are concerned that it may be too risky a procedure to perform on those who have not yet reached adulthood.
Teenagers Considering Bariatric Surgery Must Meet Strict Guidelines
What follows is a list of medical guidelines that will tell if gastric bypass or gastric banding surgery is right for them.
Possible candidates who are under 18:
- Are typically over the age of 15. Most doctors will not treat anyone younger.
- Need to have attained physical maturity.
- Have been unsuccessful for more than 6 months with organized weight management programs. These programs must also have been under the supervision of their primary care doctor.
- Have a Body Mass Index (BMI) of at least 40 (meaning they need to lose 100lbs or more of body fat) and have serious obesity-related diseases.
- May also have a BMI of at least 50, but cannot have more than a few obesity-related diseases.
- Must receive comprehensive psychological and medical evaluations before and after the surgery.
- Have a supportive network of friends and family.
- Agree not to become pregnant for at least 1 year following the procedure.
Teens Face Even Bigger Obstacles Following Surgery
Even if your child meets all of the requirements, there are still numerous obstacles ahead.
Patients are often disappointed when they find out any of the following:
- Some insurance companies have refused to cover the costs of the procedure because of the patient’s age. The average price for gastric bypass surgery is anywhere from $20,000 to $35,000.
- The mortality rate for bariatric procedures is about 1 in 300, although some studies believe it is closer to 1 in 50 if the surgeon is less experienced.
- The average meal a person can ingest would fill ½ a cup. Many patients suffer from severe depression trying to cope with the loss of food.
Because food is no longer an emotional crutch, teens will be forced to take an honest look at what made them overeat in the first place.
Bariatrics As A Last Resort
The complex nature of the surgery, mixed with the emotional distress that follows, can be a lot to handle, especially in younger children.
This is not to say that bariatric surgery isn’t the right option, but it should be one that is taken very seriously, and only after all other options have been exhausted.
As with any surgery, regardless of age, patients need to know all the facts and be surrounded by a strong network of support.
Published: 08/29/2007, Last Updated: 12/11/2007
By LocateADoc.com Medical Staff Writers
Our writers strive to present an objective, upfront and open view of the medical procedures you're interested in. We present you with both the good and bad, and work to represent both doctors' and patients' points of view. Our articles contain facts and statistics obtained from medical associations, medical and surgical journals, and through doctor and patient interviews.
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