麻豆果冻传媒

Adolescent Bariatric Surgery Program at Lucile Packard Children鈥檚 Hospital Stanford Receives Landmark Accreditation

For Release: February 23, 2017

STANFORD, Calif. 鈥 Lucile Packard Children鈥檚 Hospital Stanford鈥檚 Adolescent Bariatric Surgery program is the first and only adolescent bariatric surgery program on the West Coast to receive accreditation by the

Since 2004, Packard Children鈥檚 has provided bariatric surgery to adolescents as a treatment option through the Packard Children鈥檚 Center for Healthy Weight. The program, which is modeled after , offers behavioral, educational and medical services to overweight children and adolescents.聽

鈥淣ot only are we the only center on the West Coast to be accredited so far, we are also one of three programs in the nation to receive accreditation to do this type of operation on adolescents,鈥 said Matias Bruzoni, MD, surgical director of the Adolescent Bariatric Surgery program and assistant professor of surgery at Stanford School of Medicine.

For 21-year-old Micaela Chapa, who underwent laparoscopic sleeve gastrectomy 4 years ago when she was a senior in high school, it鈥檚 been life-changing.

鈥淚 feel like the whole process with Packard Children鈥檚 was transformative,鈥 said Micaela.

Although she was active in sports, Micaela struggled with her weight and suffered from mild sleep apnea, pre-hypertension and pre-diabetes.

鈥淚 was captain of the water polo team and weighed almost 350 pounds, but I still wasn鈥檛 losing weight,鈥 she said.

Micaela鈥檚 mother had a successful gastric bypass surgery when Micaela was a child, so she encouraged her daughter to consider the same option. According to Dr. Bruzoni, it is fairly common for adolescent patients to opt for the surgery after seeing their parents successfully undergo the procedure

Laparoscopic sleeve gastrectomy is the most common bariatric surgery for adolescents, and it reduces the size of the stomach by nearly two-thirds. After surgery, the stomach ends up looking like sleeve or tube and will only accept a small volume of food. When the size of the stomach is reduced, the majority of the cells that produce the hormone that causes someone to feel hungry are also removed. In addition, the gastric emptying time may be lower than normal so patients feel full for longer periods.

鈥淎fter the surgery, patients eat less because their stomach is smaller and they have less of an appetite,鈥 said Bruzoni, who adds that patients need to eat smaller meals more frequently and take vitamins to ensure they are getting adequate nutrition.

Before a patient is considered to be a good candidate for the surgery, they must undergo a 4 to 6 month medical and psychological evaluation. Patients are required to commit to dietary changes and an exercise plan as part of the program, which takes a multidisciplinary approach that includes nutrition counseling and meeting with the program鈥檚 psychologist and social worker.

鈥淢ost obese patients who qualify for weight loss surgery have failed to lose weight by other methods,鈥 said Bruzoni. 鈥淭hey typically have diseases related to being overweight, such as sleep apnea, diabetes, hypertension and liver disorders. The good news is that scientific data show if you lose weight those diseases will go away.鈥

The surgery has a profound impact on patients. 鈥淪ome of our patients tell us they are able to ride a bike or shop for clothes at regular stores, something they weren鈥檛 able to do before the surgery,鈥 he added.

Micaela began working with a nutritionist and psychologist when she was admitted to the program, and with their support she lost close to 50 pounds. After the surgery, the weight steadily came off as she continued with her exercise program and ate smaller meals. Now, 4 years after her surgery, she has lost a total of 165 pounds and is holding steady at around 180 pounds.

A student at Solana Community College, she said that while she will always have to follow a strict diet and exercise program, she feels more confident about keeping the weight off.

鈥淎fter the surgery, I really felt like a changed person, and I had a very powerful tool on my side,鈥 said Micaela. 鈥淔or the first time, I feel in control of my weight loss.鈥

Media Contact:

Samantha Dorman
(650) 498-0756
sdorman@stanfordchildrens.org

Kate DeTrempe
(650) 721-8527
kdetrempe@stanfordchildrens.org

About 麻豆果冻传媒 Children's Health

麻豆果冻传媒 Children鈥檚 Health, with聽Lucile Packard Children鈥檚 Hospital Stanford聽at its center, is the Bay Area鈥檚 largest health care system exclusively dedicated to children and expectant mothers. Our network of care includes more than 65聽locations聽across Northern California and more than 85 locations in the U.S. Western region.聽Along with Stanford Health Care and the Stanford School of Medicine, we are part of聽, an ecosystem harnessing the potential of biomedicine through collaborative research, education, and clinical care to improve health outcomes around the world. We are a nonprofit organization committed to supporting the community through meaningful outreach programs and services and providing necessary medical care to families, regardless of their ability to pay. Discover more at聽stanfordchildrens.org.