Gastric Bypass and Adolescents

Gastric Bypass and Adolescents

Introduction

Severe obesity has dramatic consequences on the health and quality of life. Vascular complications, respiratory, musculoskeletal and metabolic accompanying rapidly and is defined by the generic term “comorbidity” reduce the life expectancy of patients. Recent demographic studies have shown a heightened prevalence of obesity in western countries, especially among young people. The medical and dietary treatments that are available have shown an inconsistent efficacy and are burdened with a high relapse rate. It is this failure that led to propose a surgical technique in which the last date, adjustable gastric banding, experienced spectacular growth.

Discussion

At present there are two issues to the extent that many surgeons are concerned when it comes to bariatric surgery in adolescents. The first is whether or not the procedure is safe in adolescents and the second is how adolescent patients will eventually have the longer term. In terms of surgical success teenagers have proven to be excellent candidates for surgery, requiring less time in the hospital, recovering more quickly than adults and are less surgery and postoperative complications (Zitsman, et al. 2011). This is perhaps not surprising when you consider that most young people entering the surgery without other major medical problems that are often seen in adults. More importantly the mortality rate of gastric bypass surgery in adolescents is much less than that observed in adults.

Gastric bypass or rather gastro-jejunal is currently the intervention of reference for “difficult” cases of obesity, or for some it is suitable for the operation of the flexible ring failures. It is also possible by the technique of laparoscopy. It involves an anastomosis (suture) between the stomach and the small intestine is called a by-pass operation, or digestive shorted. Gastric bypass combines three elements: food restriction (like the modular ring), with early satiety, a malabsorptive effect (proportional to the length of intestine bypassed, which vary slightly) and “dumping effect “if you swallow sweet or milk products (discomfort and bloating, increased heart rate) too quickly (Zitsman, et al. 2011).

Gastroplasty brings the benefits of laparoscopy: reducing pain and parietal effects, so the duration of hospitalization and absence from work and it is accompanied by low morbidity (10%). The most frequent complications are slipping the ring with dilation of upstream compartment: too many when the ring was placed across the back cavity of omentum (17%), they are less frequent since the ring is set up but still ...