Weight Loss Drugs vs. Bariatric Surgery – Which is Right For You?
If you’re trying to lose weight and finding it difficult, you may have considered taking medications or undergoing bariatric surgery. Both of these... read more
Adolescent Bariatric Surgery
If childhood and teen obesity trends continue. the average life expectancy may be reduced by as much as 2-5 years. Obesity is a chronic, lifelong and progressive medical condition- as we age, we also tend to get heavier. Children with severe obesity start with early onset morbid obesity.
People struggling with obesity are at a higher risk of:
- Heart disease
- Stroke
- Type 2 diabetes
- High blood pressure
- Sleep apnea
- Fatty liver disease
- Joint pain, dislocations, torn ligaments and arthritis
- Cancers of the breast, colorectal, esophageal, kidney, gallbladder, uterine, pancreatic, and liver.
An additional consequence of the increased morbidity associated with childhood and teen obesity is the rise in health care costs.
Severe Pediatric Obesity:
- BMI > 40
- 4 y.o. who weighs >80 lbs
- 8 y.o. who weighs > 160lbs
Consensus Recommendations
Adolescents Being Considered for Bariatric Surgery Should:
- Be very severely obese (BMI >40) with serious obesity-related comorbidities or have a BMI of >50 with less severe comorbidities
- Have failed at least 6 months of supervised weight management, as determined by their primary care provider
- Have attained or nearly attained physical maturity
- Demonstrate decisional capacity
- Demonstrate commitment to comprehensive medical and psychological evaluations both before and after surgery
- Be capable of and willing to adhere to nutritional guidelines postoperatively
- Agree to avoid pregnancy for at least 1 year postoperatively
- Have a supportive family environment
Adjustable gastric banding is one type of restrictive procedure
- Minimally invasive- using small incisions to perform
- Mean excess weight loss at 1 year of 42%
- Requires implanted medical device
- Lowest rate of complications
Vertical sleeve gastrectomy is another restrictive options
- Minimally invasive- using small incisions to perform
- Mean excess weight loss at 1 year of 60-70%
- No implanted medical device
Conclusions:
Surgery should only be performed on individuals who meet specific criteria. Pediatric patients should only be referred to bariatric centers that have both a multi-disciplinary team and experience working with adolescent patients.
The decision to have bariatric surgery should never be taken lightly and should be made on a case-by-case basis.
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courteous, responsive and professional
I am extremely happy with the service I am receiving from this group. They are curteous, responsive and professional. Someone is always an email or a phone call away, and they address my concerns on a very timely way. Highly recommended.
Elie G.Weight Loss Surgery Win/Win with Weight Loss and Cholesterol
In a study presented at the “2016 American Heart Association Scientific Sessions”, results across the board demonstrated that weight loss surgery not only helped teenage boys to lose weight, but also increased high density lipoprotein or “good cholesterol”. Overall, general health in these young patients was found to improve after recovery.
Weight loss surgeries are considered extremely safe. And bariatric surgery in adolescents with the best long term outcomes include the:
- Vertical Sleeve Gastrectomy, or “Gastric Sleeve”
- Laparoscopic Gastric Banding, or “Lap-Band”
Advanced Surgical and Bariatrics has done the highest volume of bariatric surgeries in the Tri-State area, and the most adolescent bariatric procedures in the country, while maintaining the safest outcomes.
To schedule an appointment for a free consultation on either surgery, please fill out a contact us form on our website, or call our office.
Dr. Ragui Sadek is a premier surgeon who established a state-of-the-art and one of the safest bariatric surgery programs in the state. Dr. Sadek has fellowship training in both laparoscopic/bariatric surgery and surgical trauma/critical care, allowing him to safely perform complex surgeries on patients who have been turned down by other practices. As a Clinical Assistant Professor of surgery at RWJ Medical School & the Director of bariatric surgery program at RWJ University Hospital, Dr. Sadek offers a cutting-edge range of laparoscopic, robotic, & bariatric surgical procedures with a complication rate substantially below the national average.
Dr. Sadek is a Clinical Assistant Professor of Surgery at Rutgers-Robert Wood Johnson Medical School and a Fellow of the American College of Surgeons. Having performed more than three thousand advanced surgical procedures, Dr. Sadek has established a strong patient satisfaction rate and a solid reputation among the surgical community and is renowned as a top physician in his field by International Association of Healthcare Professionals. As a board-certified surgeon, he holds affiliations with the American Society of Metabolic and Bariatric Surgery and the Society of American Gastro Endoscopic Surgeons. More about Dr. Sadek
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