Sleeve gastrectomy can cause loss of bone density and strength in adolescents

Sleeve gastrectomy (SG), the place about 80% of the abdomen is eliminated, is efficient for treating weight problems and its problems, nevertheless it has been related to bone loss in adolescents. In a potential examine printed within the Journal of Bone and Mineral Analysis, imaging exams revealed that SG decreases energy and bone mineral density of the lumbar spine in adolescents and younger adults.

Within the 12-month potential nonrandomized examine, 29 adolescents/younger adults with weight problems underwent SG and 30 have been adopted with out surgical procedure. At baseline and 12 months, individuals underwent computed tomography of the lumbar spine for bone assessments and magnetic resonance imaging of the stomach and thigh for physique composition assessments.

Contributors within the SG group misplaced a mean of 34.3 kg (75.6 lbs) 12 months after surgical procedure, whereas weight was unchanged in controls. There have been important reductions in belly fats tissue and thigh muscle within the SG group in contrast with controls. Additionally, bone energy and bone mineral density decreased within the SG group in contrast with controls. Reductions in bone energy and bone mineral density have been related to reductions in physique mass index, belly fats tissue, and muscle.

Weight reduction surgical procedure could be very efficient in treating weight problems and obesity-associated comorbidities in adolescents and younger adults with weight problems; nevertheless, it might probably trigger lack of bone density and energy. We hope that our examine raises consciousness of the significance of bone well being after weight reduction surgical procedure, so physicians can make it possible for kids eat a nutritious diet with sufficient calcium and vitamin D and interact in weight-bearing exercise to construct up muscle mass, which is nice for bones.”

Miriam A. Bredella, MD, Corresponding Creator of Massachusetts Common Hospital