Obesity in kids fuelled by tonsillectomy

WEIGHT control should be considered first in children with obstructive sleep apnoea (OSA), as many gain weight after tonsillectomy and adenoidectomy (T&A), experts say.

A systematic review of studies involving 795 healthy-weight and overweight children showed up to 75% gained weight after surgery, which was mainly for obstructive sleep apnea. 

Children with chronic tonsillitis may have dysphagia or odynophagia, with their appetite increasing post-surgery, the authors said. 

Professor Harvey Coates, a senior ENT surgeon at Perth’s Princess Margaret Hospital for Children, recommended GPs advise parents of obese children to undergo weight management programs before considering T&A. 

“The parent should be told that children with obesity may still remain obese unless you modify their lifestyle factors…  before surgery,” he said. 

T&As performed in children with morbid