Doctors have performed bariatric surgery — reducing the size of the stomach using a gastric band — on a three-year-old child in Surat to stop uncontrolled weight gain after his weight shot up to 37 kg.
Weighing 4 kg at birth, Aansh, son of Surat-based textile trader Naresh Patel, gained 17 kg in his first year.
When Aansh’s parents consulted doctors regarding his uncontrolled hunger and weight gain, it was found that he was resistant to leptin or “satiety hormone” which helps regulate energy balance by inhibiting hunger.
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When Aansh was two-and-a-half-year-old, his weight touched 37 kg. “We saw a drastic change in his weight and dietary habits… He could eat all the day without being sated. We visited an endocrinologist as Aansh also had difficulty in breathing during sleep. After we failed to control his weight gain, then we decided to go for temporary weight loss through bariatric surgery,” said Naresh Patel.
The boy was operated upon in Surat on September 13.
Dr Mahendra Narwaria, chief bariatric surgeon at Asian Bariatrics, said, “Prevalence of obesity among children in India is rising and in urban Gujarat 16 per cent kids are obese.” In a case like this, surgery is a viable option as medicines do not work. “Not all parents are aware of this situation… Aansh’s parents brought him to our hospital on sensing something abnormal in his eating habits and weight gain,” he said.
Aansh has lost two kg in one week of surgery and alos shown reduction in obesity-related complications, said Dr Narwaria.
“Right now, Aansh’s parents are being counselled by our team of nutritionists with regard to patient’s diet and lifestyle modification. Post operation, this is an important matter in the long run,” said Dr Sanjay Patolia, director at Asian Bariatrics.
Aansh has lost two kg in one week of surgery and also shown reduction in obesity-related complications, said Dr Narwaria.
Leptin and ghrelin are two hormones that have a major influence on energy balance. Leptin is a mediator of long-term regulation of energy balance, suppressing food intake and thereby inducing weight loss, whereas ghrelin is a fast-acting hormone, seemingly playing a role in meal initiation.
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