Published in:
01-05-2009 | Letter to the Editor
Letter to Editor REPLY—Response to Prof. Schiemann’s Letter
Author:
Holger Karl Till
Published in:
Obesity Surgery
|
Issue 5/2009
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Excerpt
Thank you very much, Prof. Scheimann, for your thoughtful response. We fully agree with your sincere concern about the application of bariatric surgery for children with PWS. Certainly, these patients should be treated with a supervised hypocaloric diet, exercise, and strong environmental support. Nevertheless, though, some will fail such therapy and develop life-threatening complications. Like the child we reported about, who had been in a strict PWS program since the age of 2 but gained weight dramatically until she reached a BMI of 56 by the age of 8, then requiring 24 h CPAP ventilation (besides suffering from several other metabolic co-morbidities). At that time, bariatric surgery seemed the only remaining option. …