Weight-loss Surgery MIGHT LEAD TO Weak Bones, Warn Doctors

Gastric surgery – used to treat obese patients who struggle to lose weight by other means – could also cause bone reduction, say researchers. The various procedures curtail the quantity of food a person can eat, either via a reversible gastric band or permanent operation just like a bypass. Now endocrinologists say they can also lower bone density, which is of particular concern for teenage patients who’ve not yet reached their top bone mass.

Dr Malgorzata Brzozowska from Sydney’s Garvan Institute of Medical Research performed a common overview of current research into the complicated interrelationships between fats, bone, and nutritional restriction. She said: ‘The more intrusive types of surgery appear to heighten bone turnover and the associated bone loss. The ultimate way to get a good night’s sleep? Lose the beverage belly!

In the United States, ‘Roux-en-Y’ gastric bypass surgery, one of the most invasive of the techniques, is the most common. Much of the stomach is removed and the area of the small colon bypassed. Less radical is the ‘gastric sleeve’, which involves removing a large area of the stomach departing a narrowed smaller belly, restricting diet, and at the same time speeding the passing of food to the gut.

The least invasive, in support of reversible measure, is the ‘gastric music group’, which is an inflatable ring positioned between the esophagus and belly, making it possible to consume only small amounts of food gradually. Dr Brzozowska and Associate Professor Jackie Center, say that skeletal examination and treatment should be considered part of patient care, before and after gastric techniques. Associate Professor Jackie Center, said: ‘We aren’t arguing against bariatric surgery. There is absolutely no doubt that it is an effective weapon against obesity and obesity-related diabetes. We just ask that doctors and patients take bone health into consideration.

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