This is a drastic step and would only be used for adolescents who have tried all other ways of losing weight. There would be controlled selection and
close monitoring.
The paper makes recommendations for evaluating and selecting suitable patients for surgery, the type of surgical treatment,
and long-term follow-up monitoring.
It would only be undertaken in centres specially suited for this treatment. There would be strict criteria
To be considered for surgery,
adolescents should be very severely obese (with a body mass index or BMI of 40 or greater), have attained a majority of skeletal maturity (13 years of
age or older for girls and 15 or older for boys) and have obesity-related conditions "that might be remedied with durable weight loss,"
Having recently been in contact with someone I think would benefit from surgical intervention, I can see the value of this in extreme cases only. The
whole life style of the young lady I have met (16 years old) is arranged around food. She would have no family support her to loose weight (her mother
has benefited from her extra years of being able to eat to excess), she finds it difficult to engage in physical activities and seems not to realise
the strain on her body of carrying so much extra weight. This young lady needs educating to a whole new lifestyle and a lot of help and support. I
feel she would only succeed in losing at least some of her excess weight by being physically unable to eat so much, but would need help to choose
foods of more benefit to her. Hopefully some weight loss would enable her to participate in some of the physical activities enjoyed by her peers.
I can understand other members of these boards not agreeing with the surgery. I assume that they, like me, are bringing up their children to live a
different lifestyle from the girl I have described, and would intervene to prevent this from happening in their family.
The links are from the article already mentioned.