While the number of gastric bypass surgeries being performed each year is going up as obesity rates continue to rise in most western countries, a lot of people still believe that surgery is not the right solution for obesity in teens. Nonetheless, this could be changing and, although numbers are still relatively small, teenage gastric bypass surgeries increased by 300% between 2000 and 2003.There are presently two considerations for most surgeons when it comes to surgery as an answer to the problem of obesity in teenagers. The first issue is whether or not surgery is safe in this age group and the second issue is how adolescent patients will fare in the long term.The question of the long term effects of weight loss surgery is of course one which will only be answered with time, when a large enough group of teenagers has had surgery and we have produced some meaningful statistics. During 2003 in excess of 105,000 gastric bypass operations were performed but fewer than 800 of these operations were carried out on teenage patients. Even if we consider this to be a meaningful sample size from which we can draw conclusions about the long term effects of surgery, we still have to wait many years before drawing such conclusions.As far as the success of the procedure itself is concerned, teenagers have proved to be excellent candidates for surgery, requiring shorter hospitalization, recovering quickly and demonstrating fewer problems both during and following surgery. This is not surprising when you think that most teenagers go into surgery without the many medical conditions that are frequently seen in adults. Perhaps most important of all, the death rate from gastric bypass surgery among teenagers is a lot less than that seen in adults.As well as those concerns related to surgery itself there is also the wider question of whether or not we should be looking at surgery at all with adolescents. Patients having gastric bypass surgery have to make considerable changes to their lifestyle and have to deal with a number of psychological issues both prior to and following surgery. It is hard enough to ask adults to tackle these issues, but a lot of people are asking whether or not this a burden that we should be putting on teenagers.The evidence to hand at this point suggests that weight loss surgery is an effective answer to the problem of obesity in teenagers but more time is needed to assess the long term effects of surgery and to study the psychological aspects of surgery before this can become a widespread solution to the problem of obesity in youngsters.
Gastric Bypass Surgery Financing
Ask any bariatric surgeon whether or not gastric bypass surgery lessens a patient's risk of premature death and he will tell you without hesitation that it does. Indeed, he will undoubtedly be surprised that you have asked the question at all since surgeons have known for years that weight loss surgery extends a patient's life.
However, put that same question to a number of insurance companies and you might well get a very different answer because, until now, in spite of the fact that there has been plenty of anecdotal evidence for what we all know to be the case, there has not been any concrete, hard scientific proof.
Today however the results of 2 studies have clearly demonstrated in numerical terms that gastric bypass surgery has a marked effect on the mortality of those concerned.
In the first study, a multi-center American study involving 16,000 patients followed over a 7 year period, long-term mortality dropped by as much as 40 percent. additionally a second Swedish study involving some 4,000 patients showed a 29 percent fall in mortality.
Insurance companies have sought for many years now to put obstacles in the path of patients to prevent them from claiming for weight loss surgery and this has been gaining momentum in recent years as the number of obesity operations being undertaken has risen dramatically and weight loss surgery has become increasingly acceptable with a number of celebrities such as Carnie Wilson, Al Rocker, Star Jones and others undergoing weight loss surgery.
The insurance companies however have stuck rigidly to the line that gastric bypass surgery should only be used as a last resort and that all possible efforts to lose weight through exercise and diet, including if necessary the use of medication, should be exhausted before weight loss surgery is considered. In addition, they have also insisted that gastric bypass surgery should only finally be undertaken if the patient's weight poses a risk to life.
For most people this stance by the insurance companies is seen as being quite ridiculous and a position which they have clearly adopted merely to save the insurance company money. Nevertheless, and despite this view, the insurance companies have gotten away with this for years now because it has not been possible to show in terms of facts and figures that gastric bypass surgery is not just a convenient and relatively easy way to lose weight but is the only option open to many obesity sufferers and an option that will not only improve their quality of life but literally extend their lives, frequently quite significantly.
For years now overweight people have battled with their weight and, while some people have had very limited success, most people (and undoubtedly those who need to lose in excess of about 80 pounds) have discovered that diet and exercise simply does not work. Despite this fact, they have not had a choice and doctors have also been forced to lead them down this path because of the stance of the insurance companies.
Perhaps now at long last the insurance companies are going to be forced to meet their responsibility in this area and finally put the needs of their policyholders ahead of those of their shareholders.
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