Teen gastric sleeve options?

Question

My son is 13 years old,5 feet 5 snd 275 pounds. I tried every diet from keto to portion to intermittent fasting and nothing is working. He over eats snd can’t stop he is always hungry. He wants to stop but tells me he just gets hungry. He came up to and asked me about the gastric sleev. I spoke to a specialist and she recommended ADHD meds she said it can curb his appetite. I refused then she said that metaformin will also help and then she will more stronger diabetic meds to curb his appetite

Jorge Maytorena, MD · Answer

Gastric sleeve surgery is becoming more common in adolescents, with very good results, I have operated on many patients with problems, we can help

Reza Keshavarzi, MD, FACS, FASMBS · Answer

I understand your concern for your son's well-being and weight-related challenges, and I appreciate you reaching out with your questions. Adolescent bariatric surgery can indeed be an option for teenagers who are struggling with severe obesity and have not found success with other weight management methods.
At our clinic, we offer bariatric surgery for adolescents starting from the age of 13 and up. These patients undergo additional screening and evaluation to ensure they are suitable candidates for the procedure, given their age and specific circumstances. It's essential to emphasize that this decision is not taken lightly, and we prioritize the well-being and safety of our young patients.
We have successfully performed teenage bariatric surgeries for numerous young individuals worldwide, and the results have been incredibly positive. After the procedure, teenagers often experience a significant improvement in their quality of life. They feel more confident and encounter less emotional stress related to weight-related teasing and bullying. The transformation is remarkable and brings us immense joy to witness.
Our bariatric center of excellence includes a specialized pediatric doctor who carefully reviews each case to ensure the best possible outcome. I am proud to be the only surgeon in Florida who can perform this surgery for adolescents, and my private practice allows me to offer a comprehensive 12-month program. This program includes one-to-one coaching, which can be a vital part of the support system needed for young patients on their weight loss journey.
It's important to note that while there may be other surgeons offering similar procedures, they may not provide the same level of personalized care and support that we do. Our success rate with this specific population has been truly remarkable, and I am dedicated to helping young individuals like your son achieve a healthier and happier future through their transformation. Please feel free to reach out for a consultation to discuss your son's specific case and explore the best course of action for his well-being.

Ali Solmaz, MD · Answer

Regarding gastric sleeve surgery, while it can be an effective tool for weight loss in adults, it is generally considered a last resort for children and adolescents. The procedure is performed on teenagers in rare cases, but typically only if they have severe obesity that is causing significant health issues, and if other interventions, such as lifestyle changes and medical therapies, have not worked. It's important to note that the surgery permanently alters the stomach, which can affect growth, nutrient absorption, and long-term development in younger patients.
The specialist's suggestion of ADHD medications or metformin to curb appetite is not uncommon. ADHD medications like stimulants can suppress appetite, but they are typically prescribed when there is a clear diagnosis of ADHD. Metformin is often used for insulin resistance or early signs of diabetes, and while it can help with weight loss, it's not primarily a weight-loss drug. Some specialists may recommend medications to manage hunger as part of a broader plan to prevent further weight gain and improve metabolic health.
Before considering medications or surgery, it might be helpful to focus on understanding why your son feels constantly hungry. Hormonal changes during adolescence, emotional eating, or even underlying metabolic conditions can play a role. Working with a pediatric endocrinologist or a weight management specialist could provide deeper insight. Behavioral therapy or working with a dietitian who specializes in children and adolescents might also help address the emotional and psychological aspects of eating.
If your son is struggling with binge eating or emotional eating, addressing those patterns with the help of a therapist could be incredibly valuable. Weight management in children often requires a comprehensive, supportive approach that involves the whole family.
If surgery remains a consideration, I recommend seeking a second opinion from a center that specializes in adolescent bariatric surgery. They can evaluate whether surgery is appropriate and explain the long-term implications.

Islam Abdelkhalek, MD · Answer

Gastric sleeve is a very good option in that case. It will restrict the amount of food he takes till he reaches ideal body weight. Then gradually the stomach will retain some of its volume.No need then to take drugs.

Pablo Garcia, MD · Answer

Hello!!
I hope you are well. Bariatric surgery is safe inthe population younger than 18years and produces durable weight lossand improvement in comorbid conditions.
I think your son is a good candidate for the gastric sleeve, I recommend this procedure because it has a positive metabolic effect, many comorbidities such as diabetes, cholesterol and sleep apnea improve soon after the surgery, desire to eat decreases and more. The sleeve has a succesful rate among patients, just make sure you get your assessment from a professional who has a full team to help you along the way; Because in childrens and adolescents it is advisable to be in the hands of a specialist psychologist, nutritionist and all those who will support you in the process; this way you can evaluate all the available options for your particular case. 
For further information, please contact us.

Hope my answer helped you!

Teen gastric sleeve options?

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Answer: Solution for weight loss

Answer: Teen gastric sleeve options?

Answer: Teen gastric sleeve options?

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Teen gastric sleeve options?

Answers (6)

Answer: Solution for weight loss

Answer: Solution for weight loss

Answer: Teen gastric sleeve options?

Answer: Teen gastric sleeve options?

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