Adults who undergo Roux-en-Y gastric bypass surgery prove improvement in biochemical cardiac risk factors, but teens that have the procedure may understand even greater heart health benefits, according to new research. In Roux-en-Y surgery, a very general gastric bypass procedure, surgical connections around the bowel help reduce stomach capacity and let food bypass part of the small intestine. The new study, slated for appearance Monday at the Digestive Disease Week conference in Chicago, analyzed 99 adults and 33 adolescents, ages 14 through 18. All of the patients undergo laparoscopic Roux-en-Y gastric bypass between 2004 and 2010.
At least half of the participants previously had high blood pressure, elevated cholesterol and obstructive sleep apnea prior to the surgery, according to researchers from the Stanford University section of bariatric surgery. One year after surgery, however, both the adults and the teens showed important improvement in total cholesterol, triglycerides and homocysteine levels. The researchers noted, however, that after surgery the teenagers examine showed even more development than the adults in terms of high-density lipoprotein cholesterol. The adolescents' fasting insulin an indicator of diabetes risk fell by more than 400 percent after one year.
"The findings suggest gastric bypass may pick up the health-related quality of life for certain obese teens down the road. With the emerging proof of how early heart disease starts, we have to do something for these adolescents now, before a point of no return," Dr. John Morton, director of bariatric surgery at Stanford Hospital & Clinics, said in a news release from the meeting's sponsor, the American Gastroenterological Association. The study authors note that gastric bypass is not the only action for obesity. "This surgery is clearly not for each obese adolescent, and it should only be done at centers with experienced, fit surgeons," added Morton.
At least half of the participants previously had high blood pressure, elevated cholesterol and obstructive sleep apnea prior to the surgery, according to researchers from the Stanford University section of bariatric surgery. One year after surgery, however, both the adults and the teens showed important improvement in total cholesterol, triglycerides and homocysteine levels. The researchers noted, however, that after surgery the teenagers examine showed even more development than the adults in terms of high-density lipoprotein cholesterol. The adolescents' fasting insulin an indicator of diabetes risk fell by more than 400 percent after one year.
"The findings suggest gastric bypass may pick up the health-related quality of life for certain obese teens down the road. With the emerging proof of how early heart disease starts, we have to do something for these adolescents now, before a point of no return," Dr. John Morton, director of bariatric surgery at Stanford Hospital & Clinics, said in a news release from the meeting's sponsor, the American Gastroenterological Association. The study authors note that gastric bypass is not the only action for obesity. "This surgery is clearly not for each obese adolescent, and it should only be done at centers with experienced, fit surgeons," added Morton.
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