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In Search of Skinny

Teens and Gastric Bypass Surgery

By Lisa A. Goldstein

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The Right Time
When should teenagers consider gastric bypass as an option? Dr. Owens says when they are roughly twice their normal body weight or in the top 5 percentile in weight. Less heavy teenagers with serious complications of obesity might be surgical candidates also.

"Although there is little evidence that significant weight loss can be achieved and maintained without surgery [for those who are severely obese], teens considering surgery should have made at least one serious effort to lose weight without surgery," says Dr. Owens. "Also, they should be willing to make a similar serious effort afterward, as surgery alone does not guarantee good, long-term weight loss."

Undergoing this procedure means a drastic change in lifestyle. The teenager's personality will undoubtedly change. Attitudes toward food, eating and body image will have to improve. A mental health therapist is often helpful in assisting the teen in making this transition. Family support is also critical, especially since relatives have to be willing to change the eating environment at home.

A True Story
Gastric bypass changed everything about Irene Orr's life. Now 21, the resident of Anaheim, Calif., had the surgery at age 19. She had tried many diets without results. She saw a doctor and nutritionist. Nothing worked. "I was tired of living my life as a prisoner in my own body," says Orr.

Orr had the same concerns as critics of the procedure. But she gave her decision a lot of thought. "I weighed the long-term effects of remaining 350 plus pounds for the rest of my life including: sleep apnea, diabetes, high blood pressure, joint problems, even death," she says. "I realized that no matter the long-term effects of the surgery, my other option was just not worth it. I would rather be young and happy than be worrying about what the possible side effects are. Nothing can be worse than dying."


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