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Researchers Claim Weight Loss Surgery Better than Exercise for Teens
February 10, 2010 by admin
Filed under News Stories
February 9th, 2010
Reuters
They said 21 of 25 severely obese teens aged 14 to 18 who underwent a form of gastric banding lost more than half of their excess weight compared with just 3 out of 25 who did a diet, exercise and behavior modification program.
“In this study, gastric banding proved to be an effective intervention leading to a substantial and durable reduction in obesity and to better health,” Dr. Paul O’Brien of Monash University in Melbourne, Australia, and colleagues wrote in the Journal of the American Medical Association.
O’Brien and colleagues evaluated the effectiveness of Allergan Inc’s Lap-Band gastric banding treatment. The procedure involves wrapping an adjustable band around the top of the stomach, giving the patient the illusion of fullness with small meals.
Obesity, which affects nearly a third of U.S. children, has become a top White House priority with the announcement on Tuesday of President Barack Obama’s plan to solve childhood obesity within a generation.
Many studies have looked at the safety and effectiveness of weight-loss surgery, or bariatric surgery, in obese adults, but there is less evidence of its safety and effectiveness in children and teens. Gastric banding is a type of bariatric surgery.
The surgery is becoming increasingly popular as obese people struggle to lose weight and avoid the health complications that accompany the extra pounds — such as diabetes, heart disease, joint pain and some cancers.
Teens in the O’Brien team’s study had a body mass index of more than 35 and were assigned to either get the surgery or do a weight loss program. The team followed their progress for two years.
BMI is equal to weight in kilograms divided by height in meters squared. A person 5 feet 5 inches tall with a BMI of 40 would weigh more than 240 pounds (109 kg).
After two years, those in the gastric banding group had lost an average of 28.3 percent of total body weight and 78.8 percent excess weight.
Those in the lifestyle group lost an average 3.1 percent of their total weight and 13.2 percent of their excess weight.
Surgery also helped eliminate metabolic syndrome, a group of related disorders such as obesity, high cholesterol, high blood pressure and abnormal blood glucose.
At the start of the study, 36 percent of those in the gastric banding group and 40 percent in the lifestyle group had metabolic syndrome. After two years, none of the gastric banding patients had metabolic syndrome compared with 22 percent of those in the lifestyle group.
Dr. Edward Livingston of the University of Texas Southwestern Medical Center in Dallas and a contributing editor to the journal, said the results offer more concrete evidence on the use of bariatric surgery as a treatment for obesity in young people.
“The quality of evidence in support of bariatric surgery is poor, resulting in substantial controversy regarding its use for obesity treatment,” Livingston wrote in a commentary.
“Many insurance companies in the United States will not pay for bariatric surgeries, and their decision to not cover this treatment is based on the lack of compelling, universally accepted evidence in its favor,” he wrote.
Click here for the full report
Obese Encouraged to Gain Weight to Qualify for Surgery
January 26, 2010 by admin
Filed under News Stories
January 26, 2010
Guardian
by Owen Bowcott
Obese patients are being “effectively encouraged” to pile on the pounds to qualify for weight-loss operations on the NHS, the Royal College of Surgeons warns today.
The college claims lives are being put at risk as some health trusts require patients to reach higher body mass index (BMI) levels than others before they receive surgical treatments.
The postcode lottery means that access to NHS weight-loss surgery is “inconsistent, unethical and completely dependent on geographical location”, according to the college.
Last year 4,300 operations to reduce body weight were carried out on the NHS, but as many as 1 million people could meet the National Institute for Health and Clinical Excellence (Nice) criteria for being classed as having severe obesity.
Bariatric, or weight-loss, surgery is carried out after diets, drugs and lifestyle-altering interventions are seen to have failed. It is not generally recommended for children or young people.
“Constraints on NHS funding mean that in some areas NHS decision-makers are opting to ignore professional guidelines and are denying patients’ access to surgery,” the college maintains. “In others, patients who already meet the [Nice] criteria are forced to wait until either they become more obese or develop life-threatening illness like diabetes or stroke.”
According to the Nice guidelines, bariatric surgery is recommended for adults with a BMI of more than 40, who have other significant diseases (for example, type 2 diabetes) that could be improved if they lost weight, and who have tried but failed to lose weight using non-surgical techniques.
The college, which is holding a conference on the issue today, says hospitals are assessing patients referred from primary care trusts under different eligibility criteria, resulting in some patients with a BMI of 60 or greater being refused surgery while others with a BMI of 40 or less are undergoing operations.
“Nice guidelines are meant to signal the end of postcode lotteries yet local commissioning groups are choosing not to deliver on obesity surgery,” said the college’s director of education, Prof Mike Larvin. “In many regions the threshold criteria are being raised to save money in the short term, meaning patients are being denied life-saving and cost-effective treatments, and are effectively encouraged to eat more in order to gain a more risky operation further down the line.”
One bariatric surgeon, Peter Sedman, said: “There is absolutely no doubt that some patients more needy of surgical treatment than others are being denied it. I will treat the patient, my hospital will offer the service, but unless the patient moves house they will not be referred and if they are, the treatment is subsequently blocked.”
David Haslam, chair of the National Obesity Forum, said: “Bariatric surgery is amongst the most clinically effective and cost effective specialities in any field of medicine, preventing premature death and transforming lives, whilst saving vast amounts of money for the NHS and the economy.
“Even the most cynical taxpayer should support bariatric surgery, alongside clinicians, in opposing the unethical and immoral barriers to surgery imposed by NHS purse-string holders.”
The college is calling on the Department of Health to ensure all patients have equal access to treatment. It estimates that obesity problems cost the NHS £7.2bn a year.
Woman Hypnotized to Believe She Had Gastric Band Surgery Loses 55 Pounds
August 7, 2009 by admin
Filed under News Stories
August 7, 2009
Natural News
By David Gutierrez
A woman lost 55 pounds after undergoing hypnosis to implant memories of a gastric band surgery in her head.
“I’ve tried every other diet and exercise plan the world has to offer,” said the woman, Marion Corns. “Now I am able to shed up to three pounds a week because I believe I’ve had a band fitted into my stomach. Bizarrely, I can remember every part of the ‘procedure’ – including being wheeled into theatre, the clink of the surgeon’s knife and even the smell of the anesthetic.”
Corns underwent the hypnotherapy at the Elite Clinic in Spain, which was recommended to her by a friend who had gone there to quit smoking. The therapy involved a number of sessions in which she was familiarized with the procedure of a gastric band surgery, including a real surgical gastric band and stomach model. She then underwent several sessions of hypnosis, in which every stage of the surgery was narrated to her. She was made to touch the gastric band, while a recording of surgical tools played in the background. The hypnotherapists also pumped smells into the room to simulate those found in the operating and recovery rooms of a hospital.
After her first hypnosis session, Corns began to lose weight, just as if she had undergone the real surgery.
“Now if I try and eat a large portion I feel a pulling sensation in my tummy as if my stomach is stretching,” she said. “I simply cannot eat large portions of food any more.”
Clinic owner Martin Shirran said that health insurance should cover the gastric band hypnotherapy as an alternative to true surgery and with fewer side effects.
Jacqui Lowdon of the British Dietary Association cautioned that such therapy is not without risks, however.
“If this works and people can achieve the same kind of weight loss without surgery, it is important they are getting the correct dietary advice as well,” she said. “It is also important to have a target weight and to know what your ideal weight is.”







