Free Republic
Browse · Search
News/Activism
Topics · Post Article

Skip to comments.

Surgery for Obese Children?: Pediatric Gastic Bypass
New York Times ^ | 2/15/2010 | Laura Biel

Posted on 02/16/2010 8:23:20 AM PST by Badabing Badablonde

HOUSTON — One callous question turned Brittany Caesar into a medical pioneer: “Why do you eat so much? It’s not normal.”

At that moment, she was in the Campbell Middle School cafeteria, sitting down to her usual lunch: two cheeseburgers, two orders of fries and a Coke. She knew she weighed too much. Her whole family weighed too much. But her world revolved around food, and she could not imagine any other existence.

“Food was my best friend,” she said. “It was always there for me.” Somehow, her classmate’s taunt, back in 2003, wounded her in a way the usual fat jokes never had. She fled to the bathroom and wept, vowing to lose weight. Her salvation did not arrive until more than a year later when, at age 14, doctors at Texas Children’s Hospital performed a gastric bypass that left her stomach the size of an egg. On the day of surgery, she weighed 404 pounds.

Ms. Caesar, now 20 years old and 175 pounds, was the first teenager to undergo a gastric bypass at Texas Children’s, but more quickly followed. Today, it maintains one of the busiest bariatric practices for adolescents in the country, performing one or two bypasses each month. Although the procedure is still considered experimental for children, it is fast becoming the next front in the battle against pediatric obesity.

“I honestly believe that in 5 to 10 years you’ll see as many children getting weight-loss procedures as adults,” said Dr. Evan Nadler, co-director of the Obesity Institute at Children’s National Medical Center in Washington.

(Excerpt) Read more at nytimes.com ...


TOPICS: Culture/Society; Extended News; News/Current Events
KEYWORDS:
Seems to me the key is in the second paragraph....two cheeseburgers, two orders of fries? This isn't a weight lifter in training.......its a middle school girl.
1 posted on 02/16/2010 8:23:20 AM PST by Badabing Badablonde
[ Post Reply | Private Reply | View Replies]

To: Badabing Badablonde

*shrug* pretty hard to stop eating when you are surrounded by food and are HUNGRY.


2 posted on 02/16/2010 8:25:03 AM PST by null and void (We are now in day 390 of our national holiday from reality. - 0bama really isn't one of US.)
[ Post Reply | Private Reply | To 1 | View Replies]

To: Badabing Badablonde

Anything but CHANGE THE BEHAVIOR.


3 posted on 02/16/2010 8:27:31 AM PST by nmh (Intelligent people recognize Intelligent Design (God).)
[ Post Reply | Private Reply | To 1 | View Replies]

To: null and void

She’s not eating from hunger....she’s eating that much out of habit.


4 posted on 02/16/2010 8:28:09 AM PST by Badabing Badablonde (New to the internet? CLICK HERE)
[ Post Reply | Private Reply | To 2 | View Replies]

To: Badabing Badablonde

There is NO SELF CONTOL being taught.

Most likely the parents are MIA.

BTW, where is the kid getting the money to eat like a glutton? Parents? Hmmmm?


5 posted on 02/16/2010 8:28:29 AM PST by nmh (Intelligent people recognize Intelligent Design (God).)
[ Post Reply | Private Reply | To 1 | View Replies]

To: nmh

That would be difficult if as the young woman said “food is my best friend”.


6 posted on 02/16/2010 8:28:31 AM PST by svcw (If you are going to quote the Bible know what you are quoting.)
[ Post Reply | Private Reply | To 3 | View Replies]

To: Badabing Badablonde

She was eating for “comfort”. It was a habit, not because her stomach was “empty”. The surgery is not necessary (but can “force” reduced eating).

There are other ways to impose dieting.

And it wasn’t just how much she ate but what she ate so much of.


7 posted on 02/16/2010 8:29:16 AM PST by a fool in paradise (DON'T SAY "Happy Valentines' Day". It's Happy Holidays! This is the Holiday Season (Prez Day Feb15))
[ Post Reply | Private Reply | To 1 | View Replies]

To: Badabing Badablonde

“Food was my best friend..It was always there for me”.
So sad.Having to surgically alter bodies that haven’t even finished growing yet,because of something totally preventable.


8 posted on 02/16/2010 8:29:17 AM PST by gimme1ibertee ("In a time of universal deceit,telling the truth becomes a revolutionary act"-George Orwell)
[ Post Reply | Private Reply | To 1 | View Replies]

To: Badabing Badablonde

She probably has major issues and soothes herself with FOOD. Food is often a COMFORT for those with “issues”. This is NO normal for a girl in middle school to be acting out like this, but as USUAL, NEVER ADDRESS THE ROOT ISSUE.


9 posted on 02/16/2010 8:29:47 AM PST by nmh (Intelligent people recognize Intelligent Design (God).)
[ Post Reply | Private Reply | To 4 | View Replies]

To: Badabing Badablonde

Yup ...

Excerpt:

“Food was my best friend,” she said. “It was always there for me.” Somehow, her classmate’s taunt, back in 2003, wounded her in a way the usual fat jokes never had. She fled to the bathroom and wept, vowing to lose weight. Her salvation did not arrive until more than a year later when, at age 14, doctors at Texas Children’s Hospital performed a gastric bypass that left her stomach the size of an egg. On the day of surgery, she weighed 404 pounds.


10 posted on 02/16/2010 8:30:48 AM PST by nmh (Intelligent people recognize Intelligent Design (God).)
[ Post Reply | Private Reply | To 1 | View Replies]

To: gimme1ibertee

Agreed. Too sad.


11 posted on 02/16/2010 8:31:01 AM PST by Badabing Badablonde (New to the internet? CLICK HERE)
[ Post Reply | Private Reply | To 8 | View Replies]

To: Badabing Badablonde

Yet surgery that causes a sense of fullness allowed her to drop 225 lbs, while growing up from a 14 year-old to an adult.


12 posted on 02/16/2010 8:32:21 AM PST by null and void (We are now in day 390 of our national holiday from reality. - 0bama really isn't one of US.)
[ Post Reply | Private Reply | To 4 | View Replies]

To: Badabing Badablonde

Goodness. Gastric bypass is a life changing procedure (outside of the weight loss) as I understand it; special meds and strange eating procedures. Parents send your kids outside to play instead of in front of the tv/computer and give them water to drink rather than sugary drinks. Obesity problem solved and no EXPENSIVE surgery.


13 posted on 02/16/2010 8:32:31 AM PST by FreetheMarkets
[ Post Reply | Private Reply | To 1 | View Replies]

To: Badabing Badablonde
Exactly...it's a coping mechanism.
I know, because I am a comfort,or as it's more commonly known in adult circles,a stress,eater.
I catch myself doing it and stop,then just get off my duff and move around,find something to do and limit what I eat at night.
It's a battle but one worth fighting,every day.
14 posted on 02/16/2010 8:33:32 AM PST by gimme1ibertee ("In a time of universal deceit,telling the truth becomes a revolutionary act"-George Orwell)
[ Post Reply | Private Reply | To 4 | View Replies]

To: FreetheMarkets

Expensive and dangerous.


15 posted on 02/16/2010 8:37:59 AM PST by A_perfect_lady (I miss having a First LADY.)
[ Post Reply | Private Reply | To 13 | View Replies]

To: Badabing Badablonde

Behavior is one of the keys, Gastric Bypass is a tool, not a cure all, for those who have the capability of losing the weight but have problems keeping it off, then Bypass may be a good option.

If someone has been struggling with their weight for more than a decade and they are putting real effort into losing the weight then Bypass is a good option, for children, not so much unless the case is extreme. Also bypass affects how certain vitamins are absorbed and could lead to dangerous deficiencies in growing bodies.

I know someone who lost 100+ lbs and to do so she had to micro-manage everything she ate and everything she did in her life. She was walking 3+ miles a day and consuming only good food and only 1,600-1,800 calories per day and was still 100+ lbs overweight after losing 100lbs. She would sometimes cry herself to sleep at night due to hunger pains. After a years of having to literally torture herself to get any sort of result she was close to giving up. She was a good candidate for gastric bypass.


16 posted on 02/16/2010 8:39:15 AM PST by GraceG
[ Post Reply | Private Reply | To 1 | View Replies]

To: nmh

A lot of the times parents have issues also. A lot of times I’ve seen very caring parents frustrated because they aren’t in control of their own bodies, and upset because they know they are passing the problems down.

And of course there is always the genetic component. I’ve met several women in my life now that have hormonal and/or thyroid problems, and see their children growing in the same way.


17 posted on 02/16/2010 8:39:41 AM PST by I still care (A Republic - if you can keep it. - Ben Franklin)
[ Post Reply | Private Reply | To 5 | View Replies]

To: Badabing Badablonde

So rather than have her and her parents sit with dieticians and psychologists who can teach her to read and separate hunger signals from her emotions, the elective was invasive surgery to manipulate the stomach so nausea and vomiting are reactions to normal eating?


18 posted on 02/16/2010 8:40:20 AM PST by PrincessB ("if government X-rays are anything like the photos the DMV takes for your license, count me out" A.)
[ Post Reply | Private Reply | To 1 | View Replies]

To: I still care

True ... but for where it is a medical problem, they can take their thyroid meidication to help. For the other situations it’s like a nasty family recipe that keeps being handed down by example.


19 posted on 02/16/2010 8:41:42 AM PST by nmh (Intelligent people recognize Intelligent Design (God).)
[ Post Reply | Private Reply | To 17 | View Replies]

To: FreetheMarkets

I know a few women who have had it as a last resort, and its not the slam-dunk everyone believes it to be. It takes alot of discipline to follow the post-surgery diet, and alot of patience and self control over a lng period of time. I question if a teenager or pre-teen is up to the challenge.


20 posted on 02/16/2010 8:41:57 AM PST by Badabing Badablonde (New to the internet? CLICK HERE)
[ Post Reply | Private Reply | To 13 | View Replies]

To: Badabing Badablonde

I’m just frustrated to see us turning into a culture where people take a pill or have a procedure rather than change their behavior.


21 posted on 02/16/2010 8:43:57 AM PST by A_perfect_lady (I miss having a First LADY.)
[ Post Reply | Private Reply | To 20 | View Replies]

To: gimme1ibertee

I will also tell you as a chronic pain sufferer, that food is a physical aid also.

If I am having a painful day, something like a cup of hot chocolate will literally physically decrease my pain.

Think of all the people you know in chronic pain who have had an accident or illness or such and gained a lot of weight while recovering. People love to blame the sudden inactivity, but I have a theory that eating certain foods is actually a painkiller.


22 posted on 02/16/2010 8:45:47 AM PST by I still care (A Republic - if you can keep it. - Ben Franklin)
[ Post Reply | Private Reply | To 14 | View Replies]

To: Badabing Badablonde

Care for the child....tell him/her what is right or wrong...the parents wants and desires no longer matter...they have kids and the kids COME FIRST.


23 posted on 02/16/2010 8:46:06 AM PST by Dallas59 (President Robert Gibbs 2009-2013)
[ Post Reply | Private Reply | To 1 | View Replies]

To: PrincessB
Pretty much (although we don't know that what you suggested wasn't tried first)

Gastric bypass lap bands and other surgical options are (or should be) only one facet of a weight management problem.

You want to avoid surgery whenever possible, diet and exercise do work for some people, counseling works for some people, drugs/hormone adjustment work for some people.

It's just a matter of finding the least intrusive method that works.

(So says the fat guy)...

24 posted on 02/16/2010 8:47:05 AM PST by null and void (We are now in day 390 of our national holiday from reality. - 0bama really isn't one of US.)
[ Post Reply | Private Reply | To 18 | View Replies]

To: Badabing Badablonde

I guess teaching self-discipline is out of the question?


25 posted on 02/16/2010 8:49:44 AM PST by SumProVita (Cogito, ergo...Sum Pro Vita. (Modified Decartes))
[ Post Reply | Private Reply | To 1 | View Replies]

To: nmh

That’s what so fascinating about Jillian Michaels on the Biggest Loser...she breaks the trainees down with intense exercise and forces them to start coming to grips with the emotions and behavoirs driving their over eating..

Generally speaking...exercise, diet and counseling are far better options for weight loss than surgery.


26 posted on 02/16/2010 8:50:08 AM PST by Skip Ripley
[ Post Reply | Private Reply | To 3 | View Replies]

To: Badabing Badablonde

All that money Michelle Ma-Bell is spending to fight childhood obesity could pay for a lot of gastric bypass operations for the most extreme cases of childhood obesity which in turn would save a lot more lives that her silly feel good waste of money. Just Sayin....


27 posted on 02/16/2010 8:51:12 AM PST by GraceG
[ Post Reply | Private Reply | To 1 | View Replies]

To: Skip Ripley

I agree ... .


28 posted on 02/16/2010 8:52:51 AM PST by nmh (Intelligent people recognize Intelligent Design (God).)
[ Post Reply | Private Reply | To 26 | View Replies]

To: Skip Ripley
Generally speaking...exercise, diet and counseling are far better options for weight loss than surgery.

Yes, if they work. They fail in a vast majority of cases.

29 posted on 02/16/2010 8:54:55 AM PST by ccmay (Too much Law; not enough Order.)
[ Post Reply | Private Reply | To 26 | View Replies]

To: nmh

Only a portion of these problems are thyroids. There are other things that have obesity as a side effect.

I know a family that struggles with polycystic ovarian, all the girls are overweight and losing hair. They didn’t even know they had it until I mentioned it to them and they went to the doctor. They thought they were just a “fat family” that couldn’t get it together because their thyroids read normal. Painful for the psyche.


30 posted on 02/16/2010 9:09:38 AM PST by I still care (A Republic - if you can keep it. - Ben Franklin)
[ Post Reply | Private Reply | To 19 | View Replies]

To: Badabing Badablonde

Yikes how can a female ever eat that much at once? Why not just cut down to one of each and then to 1/2 of each to lose weight, or better yet learn to pack your own lunch?


31 posted on 02/16/2010 9:13:09 AM PST by chris_bdba
[ Post Reply | Private Reply | To 1 | View Replies]

To: Badabing Badablonde
I grew up in a small, cotton-mill village in north-central Georgia. We had an elementary school there - Grades K-7...out of all of the 250+ kids in that school, there was only one fat kid.
<
This poor guy (I'll call him Wilber) had a father who, himself was obese and he would not allow "Wilber" to come out and play with the rest of us...he had to sit on the porch, with his dad, all day, every day. His deadbeat dad was afraid "Wilber" would "overheat" if he got out and ran with us...so "Wilber" remained the only fat kid in school.

The rest of us were outside all the time, running, playing games, hiking in the woods, swimming at the riverm riding our bikes, and even though we ate all the time - tons of peanut butter, "sugar biscuits", "syrup biscuits", sugar cane, candy bars....BUT you could count every rib we had we were so thin...we ran it all off staying outside all day.

True, we didn't have "video games", but we did have TV; however, our parents did not allow us to sit for hours on end watching it.

When we weren't playing hard, we had chores to do.

We came in from a hard day, took a bath, ate supper (that's "dinner" to you northern folk), got our homework and went to bed. If we lucked up and got a snack, it was a couple of cookies and a glass of milk. A pack of Oreos would last over a week, as we were not allowed to "gorge" the whole box at one sitting.

The point is, I hear that gastric bypass (or any stomach surgery) is very painful; why put a kid through that to keep him from sweating a little?

I realize there are certain exceptions, but one the gate is opened there will be a flood. But, a bypass without an exercise regimine will usually not do much good.

So we've come up with Ritalin to replace discipline, and now gastric bypass to make up for laziness...what next for these little buggers?

32 posted on 02/16/2010 9:18:09 AM PST by FrankR (Those of us who love AMERICA far outnumber those who love obama - your choice.)
[ Post Reply | Private Reply | To 1 | View Replies]

To: chris_bdba
"...Yikes how can a female ever eat that much at once?..."

This is Billy Robbins, a.k.a. the Half Ton Teen. In this pic, he's 19 yo. He was the subjet of a Discovery Health episode. He topped out at around 840 pounds. Not quite a half ton but close enough. It's pretty easy to deduce what it took for him to achieve his title.


33 posted on 02/16/2010 9:18:55 AM PST by NCC-1701 (ZEROs FAVORITE SONG -- I, ME, MINE -- BY THE BEATLES)
[ Post Reply | Private Reply | To 31 | View Replies]

To: Badabing Badablonde

No matter what the comments on this thread say, we do not know for sure what made her eat that much. Because of some neural quirk she may have felt starved all the time.

We don’t really know. We can speculate. We can blame her for having no self control but our guesses are based on *our* experiences not on hers.

OTOH I hate to see tax money spent on this while cutting Medicare for the elderly.


34 posted on 02/16/2010 9:25:49 AM PST by ladyjane
[ Post Reply | Private Reply | To 1 | View Replies]

To: I still care

I have thought that while watching my Dad over the last few years. Food soothes him. Sadly, he eats massive amounts of the worst kinds of food CONSTANTLY. I swear his years of strong pain meds have wrecked his brain...he doesn’t seem to realize just how many calories he is consuming.

His doctors are at the Mayo Clinic and they cannot manage his intense, chronic pain (over 30 years worth). I feel as thought my Mom is watching him eat himself to death.


35 posted on 02/16/2010 9:36:07 AM PST by Spudx7
[ Post Reply | Private Reply | To 22 | View Replies]

To: Badabing Badablonde

Habit, boredom, loneliness, sadness.

Same reason people drink alcohol, or smoke.


36 posted on 02/16/2010 9:42:54 AM PST by Ro_Thunder ("Other than ending SLAVERY, FASCISM, NAZISM and COMMUNISM, war has never solved anything")
[ Post Reply | Private Reply | To 4 | View Replies]

To: Badabing Badablonde
There are several holistic ways one can relax, and unwind from the stress that causes overeating. There are also good foods (ask Michelle!) to eat that encourage activity. If the girl in the story had an apple instead of the second cheeseburger, and dumped the fries altogether, she might of had a boost of honest energy that would have encourage her to do something active. I'm constantly battling the bulge, myself, but surgery is not the answer, for any age IMO.

Oils from God
37 posted on 02/16/2010 10:06:01 AM PST by mlizzy ("Do not wait for leaders; do it alone, person to person" --Mother Teresa.)
[ Post Reply | Private Reply | To 1 | View Replies]

To: NCC-1701

Oh my I’ve not seen that show. That is so sad. Like one of the prior posters said, as kids were were sent outside to play and weren’t allowed to be unbderfoot inside all day unless it was too cold and raining. On those days we had a basement and rollerskates I just don’t understand how a parent can’t see that their child is too big and do something about it. We weren’t allowed to eat whatever we wanted whenever we wanted. I don’t think I got into the frid on my own until I was 14 and even then we asked or were told what was there for lunch.


38 posted on 02/16/2010 10:31:20 AM PST by chris_bdba
[ Post Reply | Private Reply | To 33 | View Replies]

To: nmh
Wow.... Gastric BP...can be very dangerous. And it's hard to reverse..if at all.

Personally...I'd just pay a dentist to wire my mouth shut.

39 posted on 02/16/2010 10:34:09 AM PST by Osage Orange (Life, Liberty and the Pursuit of Anyone Who Threatens It)
[ Post Reply | Private Reply | To 10 | View Replies]

To: I still care
That just proves my point about turning to food for comfort and/or solace. Who doesn't agree that a decadent chocolate brownie after a mentally exhausting day at work eases the mental stress and lifts the spirit a bit?
As far as being incapacitated by injury or illness,the mere fact that a person cannot return to their daily duties-picking up after toddlers,rushing kids to school,jogging up and down stairs or running for a taxi,whatever they may be-will cause a person to not only gain weight,but eat simply to comfort themselves or out of boredom or frustration.
While it is certainly true that that cup of hot chocolate has feel-good stuff in it,but also the smell,the taste and the warmth of it is in itself very soothing to the psyche.
40 posted on 02/16/2010 10:48:31 AM PST by gimme1ibertee ("In a time of universal deceit,telling the truth becomes a revolutionary act"-George Orwell)
[ Post Reply | Private Reply | To 22 | View Replies]

To: A_perfect_lady
Expensive and dangerous.

And not the quick fix people seem to think it is. The stomach will expand eventually. Plenty of people have had gastric bypass and lost weight only to gain it back because they still ate crap.

41 posted on 02/16/2010 10:53:56 AM PST by retrokitten
[ Post Reply | Private Reply | To 15 | View Replies]

To: retrokitten

Yep. I have heard the stomach can stretch back out again if they keep stuffing themselves.


42 posted on 02/16/2010 11:07:27 AM PST by A_perfect_lady (I miss having a First LADY.)
[ Post Reply | Private Reply | To 41 | View Replies]

To: Badabing Badablonde

Start having real gym class in school and recess periods, stop feeding the kids McDonalds on a daily basis, and take away the video games and computer when needed, and this would not be a problem.


43 posted on 02/16/2010 12:44:22 PM PST by Thunder90 (Fighting for truth and the American way... http://citizensfortruthandtheamericanway.blogspot.com/)
[ Post Reply | Private Reply | To 1 | View Replies]

To: Thunder90

*shrug* I was the fat kid.

Never went to Micky D’s, very seldom ate out.

Rode my bike, played in the swamp with the other kids, who I would ofttimes run into the ground.

Video games? When a computer filled a goodly sized room and sucked down more AC than a small office building? Nahhh. Besides the very first “game”, an orbital mechanics simulator, wouldn’t appear in any but the very highest of high end labs for years.

Weight was still a problem for me.

Thanks for playing.


44 posted on 02/16/2010 1:12:18 PM PST by null and void (We are now in day 390 of our national holiday from reality. - 0bama really isn't one of US.)
[ Post Reply | Private Reply | To 43 | View Replies]

To: null and void

It was especially fun chasing the DDT truck down the street and watch the mosquitoes drop all around us...


45 posted on 02/16/2010 1:18:25 PM PST by null and void (We are now in day 390 of our national holiday from reality. - 0bama really isn't one of US.)
[ Post Reply | Private Reply | To 44 | View Replies]

To: Badabing Badablonde

When children’s weight reaches levels that are causing serious health problems, they should be taken away from their parents. We have no trouble doing this with parents who are slowly starving their children to death, so there shouldn’t be any problem doing it with parents who are slowly stuffing their children to death. Of course, if this was a clear and strictly enforced policy, nearly all parents would see to it that their children never got so fat in the first place. The rest would be completely dysfunctional parents (nearly all on welfare of one sort or another) who shouldn’t be allowed to have custody of their children for a whole laundry list of reasons. The idea of performing drastic and risky surgery on a child to deal with an obesity problem, without first trying the simple measure of removing them from the people who are giving them access to all this excess food, is patently insane. It makes no more sense than performing surgery to install a feeding tube with an automated food pump into a child whose parents have been starving him/her, and sending the artificially remodelled child right back to the parents.


46 posted on 02/16/2010 3:28:10 PM PST by GovernmentShrinker
[ Post Reply | Private Reply | To 1 | View Replies]

To: null and void

In nearly all cases where a person is greatly overeating even though only eating when hungry, the hunger is the direct result of a habitual diet of sugary, starchy, and calorie-dense foods. Some of these people who grow up in families with poor eating habits simply have no idea that eating a big salad will leave you less hungry an hour or two later, than eating a big pile of greasy pasta with 10-20 times as many calories, because they’ve simply never experienced it. They’ve grown up in families where “salad” means things like mayonnaise-laden potato salad with a few scraps of shredded carrot for color, or a concoction of marshmallows, fruit chunks canned in heavy syrup, and nuts suspended in a mountain of whipped cream.


47 posted on 02/16/2010 3:46:15 PM PST by GovernmentShrinker
[ Post Reply | Private Reply | To 2 | View Replies]

To: FrankR

I picked a town and area to raise my sons where they could play freely because there was no crime and my work made it possible for me to be around after school. I came from a family with healthy eating habits and just did the same with my kids.

Not everyone is so fortunate. We took in a fresh air kid from Harlem who was heavy because it was not safe for him to play outside and food was his “best friend.” At our house, all he did is play outside and have a blast. Food was very important to him the first couple of days and then he found himself so busy with wild fun, he did not care if he ate or not. I had to pull the kids in to get them to eat their meals and drink fluids.

A lot of kids are fat because we have a really sick ass society and they are not safe outside unsupervised.


48 posted on 02/16/2010 8:12:49 PM PST by SaraJohnson
[ Post Reply | Private Reply | To 32 | View Replies]

Disclaimer: Opinions posted on Free Republic are those of the individual posters and do not necessarily represent the opinion of Free Republic or its management. All materials posted herein are protected by copyright law and the exemption for fair use of copyrighted works.

Free Republic
Browse · Search
News/Activism
Topics · Post Article

FreeRepublic, LLC, PO BOX 9771, FRESNO, CA 93794
FreeRepublic.com is powered by software copyright 2000-2008 John Robinson