Mr. McKinley asks you about the possibility of bariatric surgery for a young cousin who is 10 years old. What are the criteria for bariatric surgery in children and adolescents?
What will be an ideal response?
In children/adolescents, the following are criteria to be considered as a candidate for bariatric surgery:
• Failure to meet weight loss goals for greater than six months (goals are usually set up with primary care physician).
• Severely obese with a BMI >40, or > 35 with presence of co-morbities that could be improved with weight loss, and have attained a skeletal maturity for the most part (age 13 for girls and 15 for boys).
• Shows willingness to adhere to nutritional guidelines post-op.
• Undergone psychological evaluation that shows he/she can handle the emotional effects of surgery.
• Must possess decision-making capabilities.
You might also like to view...
Deficiency of vitamin B12 leads to hyperglycemia
Indicate whether the statement is true or false
Which of the following agencies monitors the amount of arsenic in rice and other foods and beverages?
A. CDC B. EPA C. WHO D. FDA
Eighty-year-old Antonio Hernandez has a past medical history of hypertension, elevated cholesterol, and diabetes. He suffers a massive stroke and is stabilized in the CCU (coronary care unit). It is determined that it is unsafe to feed him orally and a tube feeding will be started immediately. ?Which feeding route would be the most appropriate for Antonio?
A) ?orogastric B) ?nasogastric C) ?gastrostomy D) ?jejunostomy
Increased intake of fruits and vegetables has been associated
with a decreased risk of certain chronic diseases. What vitamin is abundant in fruits and vegetables that may explain this association, and how is it proposed to have these effects?