15 minute ‘sleeve’ implant to revolutionise type 2 diabetes treatment

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15 minute ‘sleeve’ implant to revolutionise type 2 diabetes treatment

A wide-ranging study is to provide “definitive evidence” that the tiny EndoBarrier could be a more effective treatment than diet, exercise and medication in the fight against the disease.

Medics have hailed the implant as potentially a game-changer while Diabetes UK said the new study could prove “vital” in treating a disease which impacts nearly 3m people in the UK.

Professor Julian Teare, who is leading the new study into EndoBarrier, has lauded the treatment’s ability to bypass surgery.

Professor Teare said it could help ” treat thousands more people living with type 2 diabetes every year”.

EndoBarrier has already been successfully trailed during a 12-week study, which boasted remarkable results.

Patients showed a dramatic drop in blood glucose levels within weeks of receiving the implant reducing the need for diabetes medication.

Furthermore, patients in the trial also achieved significant weight loss similar to that seen following gastric band surgery.

Now, the treatment is being tested over a 24-month period before its expected roll out into the market in the next few years.

James Byrne, a consultant surgeon and co-lead on the 12-week study, said: “We know weight loss surgery is currently the most effective and longest-standing treatment option for type 2 diabetes.

“However, it is not the right approach for everyone and will not significantly impact the epidemic of type 2 diabetes we see in the UK

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Ask the Expert: Dr. Gerald Cahill

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Ask the Expert: Dr. Gerald Cahill Dr. Gerald Cahill, bariatric surgeon and medical director at Franciscan Midwest Bariatric Institute, said patients get a better grasp of what the surgery

Why is there more awareness of gastric band surgery as an option?

Patients are more educated with time and the prevalence of surgeries. They are accepting of what surgery can do as well as understanding of the risks and benefits. There is a greater awareness of its success in weight reduction and decreased risk of diseases. What we need to do as physicians is to further educate patients on how important the health improvements are from weight reduction.

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Obese couple says it’s their fault they’re fat – so will pay for own gastric bands ops

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Obese couple says it’s their fault they’re fat – so will pay for own gastric bands ops…

A morbidly obese couple who together tip the scales at almost 600lbs are to spend their own life savings on his’n’her gastric band – to save the NHS money.

Chris and Isabella Way said only they are responsible for their huge sizes and do not want the taxpayer to pay the price for their reckless overeating.

The weight-reducing ops will cost them £5,000 each privately but they have both vowed to foot the bill themselves.

Isabella, 31, tips the scales at 19-and-a-half stone while Chris, aged 41, is two stone heavier at 21 and a half.

The couple, who have five children between them, will both go under the knife next month at a private hospital near their home in Edgbaston, Birmingham

Isabelle, an accounts administrator Isabella, said: “For all my adult life I have struggled with my weight.

“With each pregnancy I piled on more and more weight.

“Chris had always been a yo-yo dieter and he was slim when I met him, but we bonded over our love of food.

“When we started dating he would take me to Michelin-star restaurants, and we loved browsing food festivals and street food markets together.”

Chris, a software engineer who has been with Isabella for three years, has a 44” waist and wears XXL shirts.

His BMI is a life-threatening 40 – the result of eating two breakfasts every single day.

He said: “We got ourselves into this situation by greed, so it’s up to us to find a way out of it.

“To put it plainly, we love food – and we don’t expect the NHS to pick up bill for it.”

Isabella, a size 22, said: “It’s wrong that dole-claiming scroungers who have never worked a day in their life get the surgery for free.

“We are not super-rich – we are a working family and instead of buying a new car, we are going to buy ourselves a new lifestyle.

“You can’t put a price on your health.”

Chris added: “Our favourite foods were share-sized packets of crisps and calorific homemade desserts, like crumble with custard.

“Because we have kids to feed, Isabella would make gigantic portions – then she and I would return for second or third helpings, just because the food was there.

“We would eat dinner early in the evening but by 8pm we would be peckish again, and would end up having a second dinner in front of the telly like three rounds of toast with popcorn.

“We knew it was unhealthy, but the truth is, we loved eating and would get through tonnes and tonnes of food every week.”

With BMI’s over 40, both Isabella and Chris were classed as morbidly obese and told repeatedly by their GP that they were eligible for gastric band surgery on the NHS.

Isabella said: “We were offered the NHS health programme as we’d both had health issues relating to weight.

“If we failed the programme, we would be entitled to a free gastric band. We politely refused.”

Instead, the couple discussed forking out for a gastric band with their own savings and arranged a consultation.

But Chris decided he didn’t want to resort to the dramatic treatment without trying to diet.

He said: “We spent the next three months trying to lose weight naturally. We worked out, ate healthily and even tried slimming pills.

“I lost a stone and Isabella lost two, but we couldn’t keep the weight off.

“Slowly, we piled on the pounds again and undid all our hard work.

“In April this year, we accepted that eating huge portions was making us fat.

“Isabella suggested that we go through with getting a gastric band fitted.

“She was joking – but slowly we realised that this was the only solution for us – because we love eating.

“We knew it was a life-changing decision, and we knew it would be expensive, but never for one second did we consider approaching the NHS.

“As a couple, we pride ourselves on being independent, and we are not willing to accept services for free when we can pay our own way.

“Besides, we are both mobile and able to work – so there’s no reason to try and scrounge the treatment.”

During a consultation at Dolan Park, part of Brimingham Hospital Group this month, the couple were told they can have the 20-minute keyhole surgery on the same day – and they are even able to share a room.

Isabella added: “For a family with five kids, 10k is a huge amount to spend. But we think it’s only right that we spend our own money.

“Asking for tight NHS budgets to spent correcting out greed would be an insult to the taxpayer.

“But we are essentially buying a new lifestyle, so it’s worth it.

“We’ve been warned there could be complications. It’s a life-changing operation and funding it with our own money has forced us to think seriously about doing it – this has not been an easy decision.”

Chris hopes to lose 6st by Christmas, and Isabella expects to lose 4st.

Read the original Article on The Daily Mirror …

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Global obesity surgery devices market and demand forecast to 2020 shared in new research report

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Global obesity surgery devices market and demand forecast to 2020 shared in new research report

Obesity surgery has an advantageous effect on many medical conditions such as acid reflux, diabetes, low back pain, sleep apnea, acid reflux, polycystic ovary syndrome (PCOS), hypertension and urinary stress incontinence. Obesity surgeries result in 40% to 80% weight loss after two to three years, depending on the way obesity surgery had been proposed.

Increasing prevalence of obesity among children and adults is creating a threat in developed and developing nations. Some of the surgical instruments used in obesity surgery are Aesculap, ConMed EndoSurgery, Wilson-Cook Medical, Karl Storz, and Silhouette Medical.

On the basis of procedure, global obesity surgery devices market can be categorized as biliopancreatic diversion with duodenal switch, adjustable gastric banding, Roux-en-Y gastric bypass and sleeve gastrectomy.

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New implant boosts diabetes treatment hope

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New Gastric Sleeve implant boosts diabetes treatment hope

A “SLEEVE” implant is being used as a potentially more effective treatment for type 2 diabetes than medication, diet and exercise.

THE small device, known as EndoBarrier, is placed into the small intestine via the mouth for up to 12 months and is made from fluoropolymer, a material known for its high resistance to acids.

It acts as a barrier to prevent food being absorbed and ensures it bypasses a section of the upper intestine, allowing less time for digestion and improving the resistance to insulin.

In a 24-month study involving 160 participants, experts at Imperial College Healthcare NHS Trust and Southampton General Hospital will compare EndoBarrier with standard medical therapy for the management of obese people with type 2 diabetes.

The procedure, which was trialled on adult patients in a pilot study at Southampton General Hospital and two other NHS sites in 2011, is performed under a short general anaesthetic and sees patients return home within two to three hours.

Results of that study showed a drop in blood glucose levels within weeks of receiving the implant – reducing the need for diabetes medication – while patients also achieved significant weight loss similar to that seen following gastric band surgery.

Professor Julian Teare, a consultant gastroenterologist and study lead based at Imperial College London, said: “Type 2 diabetes affects millions of people in the UK and many of these people have been unsuccessful at managing their diabetes with their current treatment regimens. “While previous clinical trials and commercial experience suggest that EndoBarrier therapy is a safe and effective treatment option for type 2 diabetes, results from this study should provide definitive evidence to help guide treatment decisions. “The use of a lower cost and less invasive alternative to bypass surgery may mean we can treat thousands more people living with type 2 diabetes every year.”

James Byrne, a consultant surgeon and co-lead based at Southampton General, said: “We know weight loss surgery is currently the most effective and longest-lasting treatment option for type 2 diabetes. “However, it is not the right approach for everyone and will not significantly impact the epidemic of type 2 diabetes we see in the UK. “Other strategies for this condition are urgently required and our research will confirm whether or not EndoBarrier therapy can help to deliver and, more importantly, sustain improvements in diabetes control.”

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Both Gastric Banding and Bypass Surgery Reduce Medical Costs

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Both Gastric Banding and Bypass Surgery Reduce Medical Costs

Medical Research: What are the main findings?

Dr. Lewis: When performed laparoscopically, both gastric bypass and adjustable gastric banding appear to result in lower total medical costs after surgery.  Bypass patients see a greater immediate drop in prescription drug costs than band patients – this is not surprising given that we know that this surgery is more likely to induce weight loss and diabetes remission. Unfortunately, bypass patients also have an initial increase in emergency department visits after surgery that is not present for banding patients.

When we compared total annual medical costs between band and bypass, we found no difference between procedures in the first 2 years after surgery. But, by year 3, bypass patients’ total annual medical costs are about 16% lower than those for band patients.

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Three Types Of Obesity Surgery

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Three Types Of Obesity Surgery

Now the number one cause of preventable death in the U.S., obesity is an unprecedented epidemic that threatens the health of the nation. Our growing rotundity not only shortens our life expectancy considerably, it is also responsible for the alarming rise in chronic conditions in recent years. New cases of weight-related diseases like type 2 diabetes have tripled in the past three decades. It is no wonder obesity surgery is more popular than ever.

Why Surgery?

Because dieting doesn’t work! About 90 percent of people regain some or all of the weight they lost while dieting in less than one year. We can argue all day and night about which diet might possibly be effective, but the fact is that only obesity surgery offers a permanent solution to the problem. With that in mind, here are three of the most popular types of weight loss surgery.

Adjustable Gastric Band Surgery

In this procedure, the surgeon uses an adjustable gastric band that squeezes the stomach into two much smaller sections: a small upper pouch and a larger lower one. Still connected by a tiny passage that slows the emptying of food, patients can no longer eat as much or as quickly as they once did. On average, most can only swallow half a cup of food before feeling full.

Advantages: Much simpler and safer than a gastric bypass, this procedure requires less cutting, which means a shorter recovery period. The gastric band can also be adjusted to further restrict or expand the size of the stomach.

Disadvantages: Because it a simpler, less aggressive operation, the results tend to be less dramatic than other weight loss procedures. Some patients have even regained some of the weight they lost over time.

Sleeve Gastrectomy

Another type of restrictive surgery, this operation involves the removal of most of the stomach — typically about 75 percent. The remainder is much smaller and narrower and cannot hold nearly as much food. As such, it is physically impossible for patients to eat as much as they once did.

Advantages: It works. Removing most of the stomach is a sure-fire way to reduce total caloric consumption.

Disadvantages: Unlike the previous procedure, a gastric sleeve gastrectomy is completely and totally irreversible. It is also a relatively new surgical option, so doctors aren’t certain about the long-term benefits.

Gastric Bypass

The most common types of obesity surgery, the gastric bypass makes the stomach much smaller by dividing it into two separate parts: an upper and lower segment. The upper segment is then connected to the small intestine, bypassing the lower part of the stomach and leaving it unused.

Advantages: Not only does it reduce the amount of food you can consume, it also shortens the length of the digestive tract, which makes it harder for you to get calories from your meals. As a result, pounds tend to come off in short order. About half of the weight most patients lose is shed in the first six months.

Disadvantage: Because you body will no longer absorb nutrients as effectively as it once did, you could put yourself at risk of malnutrition. In particular, the risk of anemia (not enough iron) and osteoporosis (not enough calcium) may increase.

If you are considering obesity surgery, all of the aforementioned procedures have proven highly effective in helping patients fight and win the battle of the bulge.

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Obesity: Silently Fuels Complicated and High-Risk Diseases

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Obesity: Silently Fuels Complicated and High-Risk Diseases

Many people have huge concerns regarding obesity, particularly a cosmetic or lifestyle, but, really – the actual concern should have to be the health problems it makes an individual prone to. In a nutshell – being obese means you are most likely to have complicated health problems. Therefore, take obesity as a very serious health concern, otherwise your life would be at stake.

Fat is usually not bad as long as it remains in healthy proportions, but once it crosses that barrier and surpasses abnormally high and unhealthy proportions and makes your body really heavy – that should be considered as the cause for concern. In other words abnormally high and unhealthy proportion of body fat, which is usually considered as overweight or obese condition – in real terms, is immensely harmful and if left unchecked creates havoc inside your body by silently fueling several very complicated and high-risk health conditions. Therefore, obesity is nothing but a complex disorder associated with several complex issues.

Facts and Figures about Overweight

Obesity is one of the leading risks for global deaths. According to WHO, around 3.4 million adults die each year as a result of being overweight or obese. WHO’s global estimates reports around 2 billion adults as obese. Overall estimates projects that more than 10% of the global adult population is obese.

What causes Obesity and Overweight?

The prime factor of obesity is energy imbalance between calories consumed and calories spent; in other words, eating too many calories and not spending much (not getting enough physical activity). If you take the prevailing scenario across the globe, you can find an increased intake of energy-dense foods that are high in fat, and then lack of physical activity as a result of increasing sedentary nature of work. In addition to this, body weight can be the result of environment, culture, socio-economic status, genes, behavior as well.

Diseases and Drugs

Sometimes medical conditions and drugs may lead to obesity. The drugs like antidepressants and steroids may make an individual gain weight. The health conditions like polycystic ovary syndrome and Cushing’s disease may also cause obesity.

Health Risks Associated with Obesity

If you know the complicated risks that obesity carries, you would never allow yourself to grow fat. If you are obese, remember the following risks are always associated with obese people:

By increasing the risk of esophageal, uterus, breast, colon, kidney, pancreas, gallbladder, thyroid and other types of cancers, obesity endangers your life.

Obesity makes you prone to high blood pressure (Hypertension), diabetes, coronary artery disease and other chronic diseases.

The other health problems that are associated with obesity include liver & gallbladder disease, respiratory problems & sleep Apnea, high cholesterol levels & high levels of triglycerides, Gynecological problems (abnormal menses, infertility), Osteoarthritis (a degeneration of cartilage and its underlying bone within a joint)

How to Prevent Obesity?

To prevent obesity, your purpose should be to maintain ideal weight or else, if you are obese, then you should diligently follow the following steps, which are equally beneficial for maintaining ideal weight and reducing weight.

– Avoid fat-rich and sugar-rich foods
– Eat foods that are low in fats
– Avoid stress, boredom and frustration
– Reduce the amount of alcohol you drink
– Avoid a sedentary lifestyle by increasing your activity level
– Increase physical activity and avoid sedentary lifestyle
– Perform aerobic exercise
– Don’t use lifts, escalator, rather use stairs
– Know the differences between bad fats and good fats and also bad carbohydrates. Minimize consumption of fast food and snack foods.

A doctor is the best source to tell you whether illnesses, medications, or psychological factors are contributing to weight gain or making weight loss hard. Always talk to your health care provider before starting any exercise program for weight loss.

Are you aware of the Hidden ingredient that you consume frequently, but unaware of the fact that it fuels Obesity, Let us find out what it is:

This ingredient is the prominent cause of ultra-modern obesity epidemic and manufacturers have begun to use it instead of other old-fashioned sweetening agent because it is sweeter than the old-fashioned sweetener, has longer shelf life, it is cheaper, it contains 14% more sweetening power and mixes well with other foods as well. The hidden ingredient is High Fructose Corn Syrup (HFCS). It contains excess fructose, which is metabolically disruptive, not good for your liver. It behaves more like fat in the body rather than sugar and gradually fuels obesity.

It has become the major sweetener in jams, ketchup, salad dressings, processed foods, ice-creams, jellies, bread.

Dr Anuradha Reddy is Working for Continental Hospitals. Continental Hospitals is one of the international hospital located in Hyderabad, Gachibowli.

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Non-Existent Weight Loss Miracles Are a Distraction from the Real Work of Defeating Obesity

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Non-Existent Weight Loss Miracles Are a Distraction from the Real Work of Defeating Obesity

Summer’s coming and with it comes more marketing for alleged weight loss solutions, but bariatric surgery remains the only proven technique for long

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Lifestyle Changes to Overcome Obesity

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Obesity has reached epic proportions world over.

It is a condition wherein your calorie intake is way higher than the number of calories you burn, and is often caused by factors such as a sedentary lifestyle, poor eating habits and lack of sleep, among others. If you make simple changes to your lifestyle, you can beat obesity. Here are some steps you could take:

  • You should set goals that are achievable and realistic. You could certainly lose a pound or two a week.
  • Stick to a healthy diet pattern. Make sure you include all food groups in your meal, from vegetables, fruits and whole grains to proteins and healthy fats.
  • Never skip breakfast – by eating well in the morning, you won’t overeat or gorge on junk food later on in the day.
  • Give up on sweetened beverages, colas, caffeine, and candy. Drink sugarless tea and hydrate yourself well.
  • Never skip any meal or starve yourself. Your metabolism will slow down and you are bound to store more fat. Have small meals that are healthy.
  • Get adequate exercise; at least 30 minutes of brisk walk or a run should set you back by a few calories.
  • Another important aspect of overcoming obesity is to get enough sleep. Poor sleep is often linked with weight gain.
  • Avoid stress, because stress, anxiety and fear could lead you to eat too much.
  • Don’t go on strange crash diets because they are not sustainable, and you are going to put on all that weight in no time. Find ways to make meals healthier, and choose less greasy and more veggie-based meals when you eat out.
  • When you feel like snacking, reach out for a carrot or a few nuts rather than a donut or a deep-fried samosa!
  • Portion control is an important aspect of healthy eating. Identify a portion size that is right for you, that satiates your hunger, but don’t go in for a second helping.
  • Always set goals and get someone to partner with you on your weight loss programme so you can feel answerable. You will also feel more motivated and celebrate your successes.
  • Cook more often at home, although it is tempting to dial a number and order pizza. Make cooking a fun activity with a partner, friend or family member. That way, you not only get quality time together but also manage to eat healthy.
  • Take up meditation, yoga, dance, or some fun methods to burn fat, and stay de-stressed!
  • Never take over-the-counter dietary supplements or herbal concoctions that advertise easy weight loss.
  • Wherever you can, walk.
  • Take the stairs rather than the elevator.
  • Take up gardening, or walk your pet – you are bound to lose a few kilos.

The first step to burning all that fat is to take up lifestyle changes. If these changes or medication don’t help much, you should take recourse to Gastric band treatment in Bangalore. You could seek more information on the available kinds of gastric band surgery in Bangalore, depending on how obese you are and what your health condition is.

Article Source: http://EzineArticles.com/?expert=Swetha_Rakesh

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