Featured Research

from universities, journals, and other organizations

Loss of nutrients following gastric bypass surgery in adolescent girls

Date:
October 5, 2010
Source:
American Academy of Pediatrics
Summary:
An increasing number of obese adolescents, particularly females, are undergoing gastric bypass surgery. Yet a recent case study highlights the possible link between gastric bypass surgery in adolescent girls and an increased risk for neural tube defects.

An increasing number of obese adolescents, particularly females, are undergoing gastric bypass surgery. Yet a case study presented Sunday, Oct. 3, at the American Academy of Pediatrics (AAP) National Conference and Exhibition in San Francisco, highlights the possible link between gastric bypass surgery in adolescent girls and an increased risk for neural tube defects, which can lead to varying degrees of disability such as paralysis and mental retardation due to damage to the nervous system, in their future children.

Related Articles


Neural tube defects in the brain and spinal cord can be due to nutritional deficiencies. The report, "Neural Tube Defects: An Unforseen Consequence of Gastric Bypass Surgery in Young Female Patients?" reviewed the case of a young patient who had undergone gastric bypass surgery prior to becoming pregnant. She presented to the Fetal Treatment Center at UCSF Benioff Children's Hospital to discuss the possibility of fetal surgery as her fetus had spina bifida. A literature review found six additional documented cases of children born with neural tube defects thought to be due to maternal nutritional deficiencies, particularly malabsorption (when the body cannot absorb nutrients), following bypass surgery.

It is well documented that gastric bypass surgery leads to malabsorption causing multiple nutritional deficiencies, including folate (folic acid), which is a key element in the prevention of neural tube defects. Although daily folate replacement can reverse this deficiency, adolescents often don't comply with medication regimens.

This situation is especially critical because adolescents who have undergone gastric bypass surgery are at an increased risk of unintended pregnancies.

"We postulate that the malabsorption of folate, poor compliance with nutritional supplements and a higher risk of unintended pregnancies places young women at an increased risk for pregnancies complicated with neural tube defects," said senior study author Diana L. Farmer, MD.

"Although obesity is epidemic in this country, we believe non-reversible gastric bypass surgery should be avoided in adolescent women given the potential increased risk of fetal neural tube defects," Farmer said. "If gastric bypass is performed on an adolescent female, great efforts must be made to minimize the risks of both unintended pregnancies and nutritional deficiencies. This should include extensive pre-surgery counseling and frequent post-operative follow-up, as well as consideration of highly efficacious contraceptives such as an intra-uterine device."


Story Source:

The above story is based on materials provided by American Academy of Pediatrics. Note: Materials may be edited for content and length.


Cite This Page:

American Academy of Pediatrics. "Loss of nutrients following gastric bypass surgery in adolescent girls." ScienceDaily. ScienceDaily, 5 October 2010. <www.sciencedaily.com/releases/2010/10/101003081446.htm>.
American Academy of Pediatrics. (2010, October 5). Loss of nutrients following gastric bypass surgery in adolescent girls. ScienceDaily. Retrieved October 24, 2014 from www.sciencedaily.com/releases/2010/10/101003081446.htm
American Academy of Pediatrics. "Loss of nutrients following gastric bypass surgery in adolescent girls." ScienceDaily. www.sciencedaily.com/releases/2010/10/101003081446.htm (accessed October 24, 2014).

Share This



More Health & Medicine News

Friday, October 24, 2014

Featured Research

from universities, journals, and other organizations


Featured Videos

from AP, Reuters, AFP, and other news services

IKEA Desk Converts From Standing to Sitting With One Button

IKEA Desk Converts From Standing to Sitting With One Button

Buzz60 (Oct. 24, 2014) IKEA is out with a new convertible desk that can convert from a sitting desk to a standing one with just the push of a button. Jen Markham explains. Video provided by Buzz60
Powered by NewsLook.com
Ebola Protective Suits Being Made in China

Ebola Protective Suits Being Made in China

AFP (Oct. 24, 2014) A factory in China is busy making Ebola protective suits for healthcare workers and others fighting the spread of the virus. Duration: 00:38 Video provided by AFP
Powered by NewsLook.com
WHO: Millions of Ebola Vaccine Doses by 2015

WHO: Millions of Ebola Vaccine Doses by 2015

AP (Oct. 24, 2014) The World Health Organization said on Friday that millions of doses of two experimental Ebola vaccines could be ready for use in 2015 and five more experimental vaccines would start being tested in March. (Oct. 24) Video provided by AP
Powered by NewsLook.com
Doctor in NYC Quarantined With Ebola

Doctor in NYC Quarantined With Ebola

AP (Oct. 24, 2014) An emergency room doctor who recently returned to the city after treating Ebola patients in West Africa has tested positive for the virus. He's quarantined in a hospital. (Oct. 24) Video provided by AP
Powered by NewsLook.com

Search ScienceDaily

Number of stories in archives: 140,361

Find with keyword(s):
Enter a keyword or phrase to search ScienceDaily for related topics and research stories.

Save/Print:
Share:

Breaking News:

Strange & Offbeat Stories


Health & Medicine

Mind & Brain

Living & Well

In Other News

... from NewsDaily.com

Science News

Health News

Environment News

Technology News



Save/Print:
Share:

Free Subscriptions


Get the latest science news with ScienceDaily's free email newsletters, updated daily and weekly. Or view hourly updated newsfeeds in your RSS reader:

Get Social & Mobile


Keep up to date with the latest news from ScienceDaily via social networks and mobile apps:

Have Feedback?


Tell us what you think of ScienceDaily -- we welcome both positive and negative comments. Have any problems using the site? Questions?
Mobile: iPhone Android Web
Follow: Facebook Twitter Google+
Subscribe: RSS Feeds Email Newsletters
Latest Headlines Health & Medicine Mind & Brain Space & Time Matter & Energy Computers & Math Plants & Animals Earth & Climate Fossils & Ruins