Questions remain on bariatric surgery for adolescents

Feb 09, 2010

Laparoscopic adjustable gastric banding surgery can effectively treat obesity in adolescents and seems to offer a better alternative than gastric bypass surgery, but further study is needed to determine whether it's better than nonsurgical options, a UT Southwestern Medical Center surgeon writes in an editorial in the Feb. 10 issue of the Journal of the American Medical Association.

"The latest research helps us define which surgical procedure may be preferable, but we are still a long way from settling the question of whether should be used to treat obesity in teens," said Dr. Edward Livingston, chief of GI/endocrine surgery at UT Southwestern. The editorial accompanies a research study by Australian physicians examining weight-loss surgery among .

Treatment of obesity in adolescents should be a priority because obesity portends other diseases, such as cardiac problems, hypertension and diabetes, later in life, said Dr. Livingston, director of UT Southwestern's Clinical Center for the Surgical Management of Obesity.

Many physicians are reluctant to recommend weight-loss surgery as an treatment for adolescents due to lack of research and data showing its effectiveness, Dr. Livingston said, so the latest contribution to the medical literature is a welcome addition.

While gastric bypass surgery permanently alters the stomach, laparoscopic adjustable can be reversed and has fewer complications, making it a better fit for the still-growing adolescent population, noted Dr. Livingston.

Australian researchers compared gastric banding surgery to medically supervised diets among 50 randomly assigned obese adolescents. The Australian data showed greater weight loss among patients receiving the bands, but complication rates raised questions about whether it was worth the benefit, Dr. Livingston said. In addition, the researchers found that while medical interventions successfully controlled many of the problematic disease complications without surgery, improvements were greater with surgery, he said.

Explore further: Supplement maker admits lying about ingredients

add to favorites email to friend print save as pdf

Related Stories

Study Puts Bariatric Surgery for Type 2 Diabetes to the Test

Dec 29, 2009

(PhysOrg.com) -- A multi-disciplinary team of Penn researchers, including diabetes, weight loss and bariatric surgery experts, are conducting a study funded by the National Institutes of Health (NIH) to determine if bariatric ...

Recommended for you

Supplement maker admits lying about ingredients

18 hours ago

Federal prosecutors say the owner and president of a dietary supplement company has admitted his role in the sale of diluted and adulterated dietary ingredients and supplements sold by his company.

ICU diaries may aid survivors in recovery after discharge

Dec 15, 2014

(HealthDay)—Patient diaries kept during a hospital stay in the intensive care unit (ICU) for a critical illness may be used as a therapeutic tool to assist survivors in recovery after discharge, according ...

User comments : 0

Please sign in to add a comment. Registration is free, and takes less than a minute. Read more

Click here to reset your password.
Sign in to get notified via email when new comments are made.