According to the experts on obesity management, as obesity is more often than not a result of genetic factors, it is difficult to control it. Hence, to halt its inevitable progress, bariatric surgery can be explored as an option at a young age before the condition becomes unmanageable. This was the essence of the note delivered by Dr. Thomas Inge, Director of the Center for Bariatric Research and Innovation and associate professor in the Division of Pediatric Surgery at Cincinnati Children's Hospital and the University of Cincinnati, presented at the plenary session of the American Academy of Pediatrics (AAP) National Conference and Exhibition in Boston.
According to Dr. Inge, obesity is not an eating disorder that can be corrected by psychological interventions like behavioral modifications. These interventions may make a small difference but are insufficient to help the patient attain the ideal weight. Earlier studies have shown that efforts to reduce BMI are controlled by the genes that a person has inherited; his environment; and his physiologic system. When the BMI has crossed a certain level, non surgical efforts to reduce it through dietary or medical interventions are not very successful.
Patients with a high BMI are often ridiculed by the society for lacking discipline in their lives. The patients have to bear this stigma in all walks of life, whether it is in the field of education or in the field of employment. However, the people fail to understand that a high BMI is often a result of hereditary factors beyond the control of man. It is seen that men resort to surgical interventions only when all other means of controlling obesity have failed. But according to Dr. Inge, surgery when the BMI has already reached 40 or 50 is not very desirable. On the other hand, bariatric surgery is very successful in obese teenagers where there is a remarkable improvement in the metabolic health of the patient. Therefore, bariatric surgery should be considered at a young age in cases of extreme obesity to attain a better control of the condition.
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