Dr. T. Karl Byrne, says the best candidates have tried several other types of medical weight loss programs before considering surgery.
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Dr. Karl Byrne: Generally, the best candidate is somebody who’s tried several other types of weight loss, medical weight loss programs in this phase. And who are now have developed complications above hasting such as diabetes, high blood pressure, sleep apnea, degenerative arthritis and so on. And people who are motivated and determined that this is going to change their lives. We explained to the patients that what our role is is to provide them with the tool to help themselves to loss weight. So we provide them with a surgical tool that they use. So the amount of the weight that they loss to a certain extent and their ability to keep it off is determined by the patients themselves depending on how motivated they are. In this institution and in many other similar larger academic centers around the nation have experienced with adolescence, right now, probably under 13 is too young we think. So we have a lot of experience in teenagers here in this institution. And there are a few centers around the nation that have done this procedures on teenagers. Now, the procedures that are being done on teenagers mostly are gastric bypass. The La Crosse got to be just in the gastric bands are not sanction by the FDA. So my guess is the future for teens will be that eventually when data comes out to suggest that on the lap band is being used. In several different trials in teenagers right now, my guess is in the course of time we will see that lap band is a very effective treatment for teenager obesity. Because it has the advantages of having a low more obesity and if there’s a problem that you can always take it out. So I think that’s probably what’s going to happen on the horizon. And with regards to the gastric path as we’ve done approximately 13 teenagers here all between the ages of 13 and 19 and they’ve all done great over the years. So having said that we are being approached by endocrinologists’ pediatricians and particularly ENT surgeons who see patients—to see children with sleep apnea. To perform these procedures in patients who are younger and younger 10, 12—nine I’ve been ask to perform a pediatric procedure in a 9 year old who was over 200 pounds. So that’s an unusual but nobody would be brave enough right now to attempt that.