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Bariatric surgery can be done in adolescents

Bariatric surgery can be done in adolescents

Although currently more stabilized, the number of obese children and adolescents in our country increased in geometric progression, reaching a tripling of incidence in the age group from 9 to 19 years, according to data from the IBGE researches between 1989 and 2009. The complications of obesity in adolescents are similar to those of adults and have also been increasing in numbers, and it is not so rare to find type 2 diabetes (DT2), hypertension and cholesterol and triglycerides A study carried out in the Department of Pediatrics at the University of Cincinatti in the USA showed a 7-year follow-up of adolescents with a BMI above 50 kg / m2, even in medical, behavioral and nutritional follow-up, that most of them increased their BMI for 57 kg / m2. Some important international publications have shown that an obese adolescent may increase the chance of being an adult with 3 times more chances of type 2 diabetes, 5 times of coronary heart disease, 3.5 times of end-stage renal disease and 4.4 times of having any future limitation of walking. Scary.

Bariatric surgery is a good solution at any age, also for teens if clinical treatment with lifestyle change fails. The number of surgical interventions among adolescents has increased. The Ministry of Health in its latest ordinance dealing with surgical indication in obesity lowered the minimum age for 16 years. However, under this age, if indicated, it should be widely discussed by the multidisciplinary team that cares for the patient and should have pediatrician, endocrinologist, psychiatrist and psychologist and surgeon. There should be ample integration of this team with the adolescent and his family, as well as their full understanding of the benefits of surgery and commitment to lifestyle change.

There are national and international publications showing that there is no interference of growth or any other operations for adolescents. Studies have shown control of the associated diseases and even reinclusion

Finally, there is enough data for a strong opinion in an editorial published a few years ago in a leading American medical journal on Pediatrics: If indicated, if bariatric surgery in adolescents is delayed or unopened opens doors for serious and irreparable consequences.


Anvisa's new rules to expedite the importation of cannabidiol medicines come into force

Anvisa's new rules to expedite the importation of cannabidiol medicines come into force

On April 22, 2015 Anvisa (National Sanitary Surveillance Agency) approved a new resolution that creates rules for the importation of five drugs based in cannabidiol for Brazil. The decision was voted by the Agency's Collegiate Board and published in the Official Gazette of the Union on May 8, scheduled to come into force only in two months.

(Health)

Research shows that the higher the level of testosterone, the greater the tendency for them to rely more on their opinions.

Research shows that the higher the level of testosterone, the greater the tendency for them to rely more on their opinions.

What was discovered is that the group that received testosterone was faster to make instant jigsaw puzzles where your initial guess is usually wrong. The explanation for this fact is that testosterone is inhibiting the process of self-criticism and increasing the sense of being always right

(Health)