Weight gain after tonsillectomy: myth or reality? Interpreting research responsibly.

نویسنده

  • Julie L Wei
چکیده

Excessive weight gain after tonsillectomy has been described by a handful of studies since as early as 1988 and, in recent years, mostly with variable study design, methods, and baseline weight of the subjects. Although most otolaryngologists have likely been asked whether tonsillectomy may lead to weight gain by parents and caretakers, there has been very limited research on this issue, and certainly no causal effect has been established by existing research. Awareness and counseling based on what has been described are relevant as a part of preoperative counseling. However, it is critical that our national epidemic of excessive weight gain in children and adolescents not be simply reduced to a matter of tonsillectomy but be understood as a multifactorial and complex issue. To study this topic well requires commitment to well-designed studies assessing caloric intake and expenditure, metabolic changes, and prospective growth measurements. Mechanisms for weight gain, even if excessive during the 12 months after tonsillectomy surgery, are far from being elucidated.

برای دانلود رایگان متن کامل این مقاله و بیش از 32 میلیون مقاله دیگر ابتدا ثبت نام کنید

ثبت نام

اگر عضو سایت هستید لطفا وارد حساب کاربری خود شوید

منابع مشابه

Evaluating tonsillectomy as a risk factor for childhood obesity.

OBJECTIVE To investigate weight gain and any increased risk of obesity in children who have undergone tonsillectomy. DESIGN Retrospective chart review. SETTING Tertiary care pediatric hospital. PATIENTS The study included 200 children aged 2 to 12 years who were undergoing tonsillectomy and 200 age- and sex-matched controls. All children had a preoperative body mass index (BMI) and a post...

متن کامل

Reduced mouth opening following tonsillectomy in children: myth or reality.

OBJECTIVE To evaluate whether tonsillectomy in children leads to subsequent reduction in mouth opening. STUDY DESIGN Cohort study. PLACE AND DURATION OF STUDY Department of ENT/Head and Neck Surgery, Combined Military Hospital, Peshawar, from October 2005 to December 2006. METHODOLOGY A total of 42 children undergoing tonsillectomy (Group A = requiring insertion of a mouth gag) and 44 pat...

متن کامل

Ten turbidite myths

During the past 50 years, the turbidite paradigm has promoted many myths related to deep-water turbidite deposition. John E. Sanders (1926–1999), a pioneering process sedimentologist, first uncovered many of these turbidite myths. This paper provides a reality check by undoing 10 of these turbidite myths. Myth No. 1: turbidity currents are non-turbulent flows with multiple sediment-support mech...

متن کامل

Dietary habits of preschool aged children with tonsillar hypertrophy, pre- and post-operatively.

BACKGROUND AND OBJECTIVES Tonsillectomy has been reported to have a positive effect on weight gain of children with tonsillar hypertrophy. This effect may be related to better respiration or/and feeding, immunological or metabolic factors. In this study we analyse the effect of tonsillectomy on the dietary habits of children. SUBJECTS AND METHODS Dietary habits of thirty 4-6 years old childre...

متن کامل

Efficacy of tonsillectomy for pediatric patients with Dysphagia and tonsillar hypertrophy.

OBJECTIVE To determine the effectiveness of tonsillectomy for the treatment of dysphagia related to tonsillar hypertrophy. DESIGN Prospective cohort study. SETTING Tertiary care pediatric otolaryngology practice. PARTICIPANTS Eighty-five children aged 2 to 14 years referred for tonsillectomy owing to dysphagia related to tonsillar hypertrophy (dysphagia cohort) or for other indications (c...

متن کامل

ذخیره در منابع من


  با ذخیره ی این منبع در منابع من، دسترسی به آن را برای استفاده های بعدی آسان تر کنید

عنوان ژورنال:
  • Otolaryngology--head and neck surgery : official journal of American Academy of Otolaryngology-Head and Neck Surgery

دوره 144 6  شماره 

صفحات  -

تاریخ انتشار 2011