Navigation Links
Delaying Weight-Loss Surgery May Leave Teens at Risk

Acting before kids gain more improves outcomes, study shows

FRIDAY, Oct. 2 (HealthDay News) -- The time frame in which gastric bypass surgery can be used to reverse morbid obesity in teens could be much shorter than previously believed, U.S. researchers say.

Their study included 61 teens who had laparoscopic Roux-en-Y gastric bypass at Cincinnati Children's Hospital Medical Center. One year after surgery, overall body mass index -- a measurement of weight in relation to height -- among the teens had decreased by 37 percent. However, because of their weight before surgery, the teens were still considered to be morbidly obese even after they lost weight.

The study, which the authors said was the first to specifically show that teens' starting weight strongly influences their postoperative weight, was published online Sept. 23 in the Journal of Pediatrics.

"Current guidelines for adolescent weight-loss surgery suggest that we begin to consider surgery only after a teen is 80 percent to 100 percent overweight," the study's lead author, Dr. Thomas Inge, an associate professor of surgery and pediatrics at the Cincinnati Children's, said in a news release from the hospital.

"Our new data show that when we intervene when a patient is between 100 percent and 150 percent over ideal weight, we can expect successful resolution of obesity," Inge said. "But by the time the teen is 200 percent over their ideal weight for age, the surgery will reduce their weight substantially, but many of the patients will still remain morbidly obese."

The findings suggest that waiting until teens are "super obese" before performing weight-loss surgery may not resolve their obesity or related long-term medical problems, such as joint damage, the researchers noted.

Doctors "have to do a better job of identifying teens who are gaining enormous amounts of weight quickly and get help for them earlier," study co-author Dr. Stavra Xanthakos, an assistant professor of pediatrics and pediatric gastroenterologist, said in the news release.

When a teen begins to gain weight rapidly, doctors should use a staged approach to manage the weight problem.

"If the weight gain is not effectively stopped with initial nutritional or exercise measures, then even more intensive treatments or programs are indicated, and ultimately some very serious thought has to be given to surgery," Xanthakos added.

More information

The U.S. National Institute of Diabetes and Digestive and Kidney Diseases has more about weight-loss surgery.

-- Robert Preidt

SOURCE: Cincinnati Children's Hospital, news release, Sept. 28, 2009

Copyright©2009 ScoutNews,LLC.
All rights reserved

Related medicine news :

1. U.S. Women Delaying Motherhood, Report Shows
2. Delaying Health Care Reform is U-N-A-C-C-E-P-T-A-B-L-E!
3. Risks of Delaying ACL Reconstruction in Young Athletes May Be Too High, Study Shows
4. Avastin effective at delaying brain tumor progression in recurrent disease
5. Safety of Labor-Delaying Drugs Questioned
6. Combination of TYKERB(R) (lapatinib) Plus Letrozole Demonstrated Significant Improvement in Delaying Disease Progression for HER2+/ErbB2+ Post-Menopausal Metastatic Breast Cancer
7. Study: Delaying evolution of drug resistance in malaria parasite possible
8. Delaying school start time by one hour positively affects adolescents cognitive performance
9. Excessive overtriage in US trauma centers overwhelming system resources, delaying patient care
10. Weight-Loss Surgery Breaks Families Obesity Cycle
11. FDA Investigating Weight-Loss Drug Over Reports of Liver Damage
Post Your Comments:
(Date:11/25/2015)... BROOK, Ill. (PRWEB) , ... November 25, 2015 ... ... larger and potentially more aggressive than those found on mammography, according to a ... MRI findings of additional cancers not seen on mammography may necessitate a change ...
(Date:11/25/2015)... ... 2015 , ... As part of a global movement to ... together who want to combine talents and resources to help create sustainable communities ... The non-profit launched its first major fundraiser on November 6, 2015 at Bent ...
(Date:11/25/2015)... ... November 25, 2015 , ... The holiday season ... and pleasing the palates of attendees is of the utmost importance. Whether you ... seasonal get-together, give these recipes a try this holiday season. , Turkey Croquettes ...
(Date:11/25/2015)... ... November 25, 2015 , ... Finnleo, a leader in ... on several models of traditional and far-infrared saunas. , For traditional saunas, ... the most traditional Finnish sauna wood, and Finnleo uses only European Grade A Nordic ...
(Date:11/25/2015)... , ... November 25, 2015 , ... ... has been recognized once again for its stellar workplace culture with the company’s ... , Medical Solutions’ Cincinnati office was named a finalist in Cincinnati ...
Breaking Medicine News(10 mins):
(Date:11/25/2015)... ) ... "Global Brain Monitoring Devices Market 2015-2019" ... ) has announced the addition of ... 2015-2019" report to their offering. ... ) has announced the addition of the ...
(Date:11/25/2015)... -- The total global healthcare industry is expected to grow at ... America has the highest projected growth at 12.7%, ... ), is second with growth projected at 11.5%. ... expenditure. In 2013-2014, total government funded healthcare was nearly 68%. ... 41.2% in 2013-2014. In real terms, out of pocket expenditure ...
(Date:11/25/2015)... Nov. 25, 2015  Amgen (NASDAQ: AMGN ) ... (BLA) with the United States ... a biosimilar candidate to Humira ® (adalimumab). Amgen ... submitted to the FDA and represents Amgen,s first BLA ... E. Harper , M.D., executive vice president of Research ...
Breaking Medicine Technology: