Doctors consider weight loss surgery for children
Liz Kerstetter
Issue date: 2/22/07 Section: News
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Bariatric surgeries are intended only for people with a body mass index of at least 40 and who have life threatening health risks if they do not lose weight. Experts at four major hospitals in the United States who have seen the successes and know of the improvements made to the surgeries are now questioning whether or not it is safe for children who meet these requirements to have a type of surgery performed.
Annmarie Havens, a recipient of gastric bypass surgery, feels that if it will benefit a child's health to get the surgery, they should be considered for it.
"Children are smarter than a lot of people give them credit for," Havens said. "I feel that if a child is old enough to ask about the surgery, then he or she is old enough to become educated to make the decision [for or against surgery]."
Bariatric surgeons perform two different types of weight-loss procedures, both of which decrease the volume of the stomach. Gastric bypass surgery, which is the more commonly performed, consists of a portion of the stomach being stapled off from the rest of the stomach. The bypass surgery has produced more timely results for patients, but has a mortality rate of about 1 in 100 patients.
Gastric banding, although currently less popular that gastric bypass surgery, is medically safer than bypass surgery. Gastric banding consists of placing a silicone band around a portion of the stomach and can be adjusted according to the patient. Banding is more easily reversible and has a mortality rate of 1 in 1000 patients.
Younger surgery recipients, if considered for the operation, will still go through the same preliminary process. "Before my surgery, I had to meet with many other doctors," Havens said. She had to be cleared by a primary care physician, a pulmonary doctor, a gynecologist, a heart doctor and a gastroenterologist in order to have the surgery.
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