A 10-year-old morbidly obese Indonesian boy, who weighed an eye-watering 192 kilos and was addicted to colas and instant noodles, has dropped 20 kilos after undergoing a weight-loss surgery.
Arya Permana from West Java had an enormous diet and was once so fat that no clothes fit him.
He would only wrap a sarong and spend his day constantly munching on junk food and bathing in a small pool. He never attended classes as walking to the school was an uphill task for him.
While he managed to lose 9 kilos in four months after dietitians put him on a closely watched diet consisting of fruits and vegetables and daily walk, exercise and swimming, Arya was still far from reducing the required weight.
His concerned parents Rokayah, 36, and her husband Ade Somantri, 45, a farmer, then urged doctors to perform a Bariatric surgery on their son to save his life.
On April 17th, Arya was operated on by the doctors of OMNI Alam Sutera Hospital for free of cost. His original weight of 186.4 kg was reduced to 169 kg within three weeks post-operation.
“Arya’s bariatric surgery was type sleeve gastrectomy. This method of bariatric surgery is done based on laparoscopic or minimally invasive techniques.
“The operation lasted approximately two hours. Arya dropped 17 kg after the surgery and is down by another three kilos,” said Dr Handy Wing, a surgeon from the Omni Hospital.
His mother Rokayah is delighted with the successful surgery but said making up their mind for an operation was not easy.
“We were worried about his weight. He was put on a healthy diet and living a healthy lifestyle. No more colas or noddles or rice but his weight was not dropping weight. We had to think of the surgery.
“He has now lost 20 kilos. We are happy and relieved but he is still overweight for his age. We are hoping that one day he will lose all the extra weight and be as healthy as other children at his class,” says Rokayah.
The surgery that includes reducing the size of the stomach has already started showing effects on Arya.
This means, his stomach will limit the portion of the meal and have a full satiety effect. In addition, Arya will also experience a decrease in hunger due to decreased hormone ghrelin, and the remaining stomach remained can be used to maintain digestive function.
“Earlier he ate five meals a day that consisted of rice, fish, beef, vegetable soup and Tempeh – a soy patty large enough to feed two adults and cola and five packets of instant noodles.
“He still feels hungry but I think his stomach is not able to receive large amount of food. Each time he tries to overeat, he throws up.
“He drinks milk and eats just one portion at a time unlike before when he could easily eat meals meant for three adults.”
Bariatric surgery is usually recommended for people aged 18-65 years with a body mass index of more than 35.
But Dr Handy explained that because Arya was morbidly obese, it was important for him to lose weight as he was prone to heart disease, diabetes and breathing disorders.
“In certain cases, such as Arya, his body mass index was 80 and he required a special handler to improve the quality of his life better.
“Arya weight could cause heart disease, diabetes mellitus, dyslipidemia, breathing disorders while sleeping, and cancer.
“If he was not immediately given the right medical treatment, Arya could have been exposed to the above complications, worse, even death,” he added.
Doctors are now monitoring the result. Every week Arya will lose weight and doctors hope that after one year can be under 100 kilos.