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Five-Year Follow-Up Study Shows Gastric Band Is Safe and Effective for Obese Patients With BMI of at Least 30

 

Five-year results from a multicenter clinical trial investigating the safety and efficacy gastric band surgery system in patients with a body mass index (BMI) of 30–39.9 kilograms per square meter are complete, and show that patients experienced significant weight loss and beneficial health outcomes. These data support the one-year trial that allowed the patients indicated for LAP-BAND to expand from only those with a BMI of at least 40 kilograms per square meter, or a BMI of at least 35 kilograms per square meter with a severe comorbidity, to also include patients with a BMI of at least 30 kilograms per square meter.

“Obesity has become a critical health issue in the United States and this study shows the LAP-BAND® System is a viable, safe alternative for patients who have been unsuccessful at weight loss and want to improve their quality of life,” said John Morton, MD, Director of Bariatric Surgery at Stanford University Hospital and Clinics, in a news release provided to Obesity News Today by Apollo Endosurgery, Inc. “For many, the weight loss journey leaves patients with little support or options. Gastric banding can be successfully implemented before patients become severely obese and can enable positive, lifelong outcomes.”

As described in “LAP-BAND® for BMI 30-40: 5-year Health Outcomes from the Multicenter Pivotal Study,” which was published in International Journal of Obesity, 149 patients received a gastric band and were followed for a span of five years. Each patient was assessed after surgery for effectiveness and adverse outcomes at follow-up appointments, which took place after one week; during months one, two, four, six, 10, 12, 15, 18, 21, 24; and every six months following the two-year mark. Effectiveness was defined as a loss of at least 30% of excess weight in at least 40% of the study population.

“This paper showcases the clinical efficacy of the Gastric band System for long-term weight loss and reinforces Apollo’s commitment to providing obese patients with proven weight loss options through minimally invasive medical procedures,” said Dennis McWilliams, President and Chief Commercial Officer of Apollo Endosurgery.

The LAP-BAND appeared to be more than adequately effective, as 76% of patients experienced an excess weight loss (EWL) of more than 30% of their excessive weight. This changed the rate of obesity in the study’s patient population from 99.3% to 36.2% at the final mark. The five-year rate was slightly higher than the two-year rate identified previously, which was 34.3%. The study showed mean percent weight loss at five years was 15.9 +/-12.4%, corresponding with 62.7% EWL during the study period. Previously released data from the study showed 65% and 70% EWL after one and two years, respectively. Secondary endpoints were also measured and showed benefits in comorbidities that included 85.7% improvement in diabetes, 64.4% in dyslipidemia, and 59.6% with hypertension.

Researchers believe that the an Affordable Gastric Band is effective in treating obesity because it leads to greater satiation and fullness during meals, helping to prevent patients from binge eating. The weight loss device may also help patients make better decisions about food, since according to the results of functional magnetic resonance imaging (fMRI) of the brain, LAP-BAND patients encountering visual food cues have reported higher-level perception in their brains. With these suggested mechanisms and efficacy data in hand, the researchers believe that it is important to intervene early in obesity onset, and that the LAP-BAND can be an appropriate option for patients with a BMI of 30–39.9 kilograms per square meter.

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Global Laparoscopy Devices Market to Reach US$12.3 bn by 2019

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Global Laparoscopy Devices Market to Reach US$12.3 bn by 2019

A new report published by Transparency Market Research (TMR) presents an in-depth elaboration on the global laparoscopy devices market. The report, titled “Laparoscopy Devices Market – Global Industry Analysis, Size, Share, Growth, Trends and Forecast, 2013 – 2019”, is available for sale on the company’s website.

According to the research report, the global laparoscopy devices market was valued at US$7.5 billion in 2012 and is expected to reach US$12.3 billion by 2019, growing at a CAGR of 7.1% from 2013 to 2019. The report opens a discussion about the key market drivers for laparoscopy devices, the restraints, growth opportunities, and threats.

The growing concerns about weight gain and morbid obesity are leading to increasing bariatric procedures, many of which use laparoscopy devices for gastric band surgery. In the coming years, as obesity continues to be the biggest battleground for many people, these gastric band surgeries are going to be the biggest application of laparoscopic devices.

The global laparoscopy devices market is segmented on the basis of equipment, application, and geography. The equipment types in the global laparoscopy market are inclusive of wound protector laparoscope, irrigation system, internal closure devices, insufflation devices, trocars, hand-assist devices, energy systems, sample retrieval bag, and the gastric band. The applications of laparoscopy are seen in general surgeries such as appendectomies, cholecystectomies, hernia repairs, and antireflux surgeries, bariatric surgeries such as sleeve gastrectomies, gastric bypass, and gastric banding, colorectal surgeries, urological surgeries such as prostatectomies and nephrectomies, and gynecological surgeries. Geographically, the global laparoscopy devices market has been divided into the regions of North America, Europe, Asia Pacific, Latin America, and Rest of the World.

The key market driver for the global market for laparoscopy devices are advantages such as quick recovery and reduced time spent at the hospital. The continuous advances in these devices have made them an integral part of operation units. The biggest application of laparoscopy devices is seen in bariatric surgeries, due to the growing number of obese people across the globe. Furthermore, the growing number of cholecystectomy surgeries performed around the world is also making a significant contribution to the growth of the global laparoscopy devices market.

Europe and North America hold the lion’s share in the global laparoscopy devices market and are likely to continue their dominance all through 2019. Analysts predict Asia Pacific and Latin America will also offer great opportunities to this market in the coming future. The key market drivers will be the rising disposable income, growing investment in healthcare facilities, and high prevalence of several diseases.

The key players in the global laparoscopy devices market are Ethicon Endo-Surgery (a subsidiary of J&J), Covidien, Olympus, Intuitive Surgical, Stryker, Boston Scientific Corporation, Smith & Nephew, Aesculap, Karl Storz, and ConMed.

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Diabetes Should Be a Factor in Weight-Loss Surgery Decision

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New Study reveals why Gastric Band Surgery in France and type 2 Diabetes should factor in your decision

Effects of type 2 diabetes and how gastric band surgery in France can help

type 2 diabetes

When glucose builds up in the blood instead of going into cells, the cells are not able to function properly. Other problems associated with the build-up of glucose in the blood include:

  • Dehydration. The build-up of sugar in the blood leads to excess glucose in the urine because the kidneys can’t deal with the high sugar levels. The sugar in the urine draws water with it, causing an increase in urination. When the kidneys lose the glucose through the urine, a large amount of water is also lost, causing dehydration.
  • Diabetic coma (hyperosmolar hyperglycaemic non-ketotic syndrome). When a person with type 2 diabetes becomes severely dehydrated and is not able to drink enough fluids to make up for the fluid losses, they may develop this life-threatening complication.
  • Damage to the body. Over time, the high glucose levels in the blood may damage the nerves and predispose a person to atherosclerosis (narrowing) of the arteries that can cause heart attack and stroke, and damage the eyes and kidneys.

Symptoms of type 2 diabetes

Type 2 diabetes can cause serious health complications. That’s why it is very important to know how to spot type 2 diabetes symptoms. Even pre-diabetes can increase the chance of heart disease just like type 1 or type 2 diabetes. Talk to your doctor about preventative measures you can take now to reduce the chance of type 2 diabetes and heart disease.

The symptoms of type 2 diabetes due to high blood sugar may include:

  • Increased thirst
  • Increased hunger (especially after eating)
  • Dry mouth
  • Frequent urination
  • Unexplained weight loss (even though you are eating and feel hungry)
  • Fatigue (weak, tired feeling)
  • Blurred vision
  • Headaches
  • Loss of consciousness (rare)
  • Recurrent infections, including thrush infections

Seek medical advice if you have any type 2 diabetes symptoms or if you have further questions about type 2 diabetes. It’s important to get diabetes testing and start a treatment plan early to prevent serious diabetes complications.

Type 2 diabetes may not be diagnosed until health complications have occurred. Most often, with type 2 diabetes there are no diabetes symptoms or a very gradual development of the above symptoms of type 2 diabetes. In fact, about 600,000 people in the UK have type 2 diabetes but don’t know they have it.

Other symptoms of type 2 diabetes may include:

  • Slow-healing sores or cuts
  • Itching of the skin (usually around the vaginal or groin area)
  • Frequent yeast infections
  • Recent weight gain
  • Velvety dark skin changes of the neck, armpit and groin, called acanthosis nigricans
  • Numbness and tingling of the hands and feet
  • Decreased vision
  • Sexual dysfunction, such as erectile dysfunction in men.

Read the full study on WebMD website….

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Nutrition care after bariatric surgery – getting it right

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Nutrition care after bariatric surgery

When patients attend for their pre-surgery appointment I ask them how they see nutrition playing a role in their weight loss journey.

Why? My experience tells me patients, and at times their GPs, often downplay the role of postoperative nutrition in long-term health and yet nutritional deficiencies are a real possibility following bariatric surgery.

All bariatric surgery procedures affect nutritional intake and some procedures may affect the absorption of macronutrients and/or micronutrients.

When weight loss and improved (sometimes resolved) comorbidities are occurring, nutrition deficiencies may seem insignificant, however they are a real concern for patients following bariatric surgery.

Unmonitored deficiencies can leave patients vulnerable to both acute and chronic conditions, including changes in bone density and neurological damage (vitamin B12 deficiency).

As patients do not always attend for their follow-up care with their bariatric specialist team there is a key role for the GP to monitor and prevent nutritional deficiencies in patients following bariatric surgery.

Micronutrient deficiencies are regularly seen in morbidly obese patients prior to bariatric surgery including gastric band surgery, gastric bypass surgery and gastric sleeve surgery.

With each of the weight loss surgeries, food portions are significantly reduced, however the quality of the food and fluid consumed and dysfunctional eating patterns can continue.

I have learnt I cannot assume that all patients are eating a well-balanced diet as some struggle to comply with the dietary recommendations.
While most patients will tolerate a wide variety of foods following their first year of surgery some will form maladaptive eating behaviours, or have restricted food variety resulting in poor nutritional intake.

Since dietary intake and nutrition is compromised following bariatric surgery, patients require life-long nutrition supplementation in addition to having a balanced diet.

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Diet, Support, And More: How to Prepare for Weight Loss Surgery

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Diet, Support, And More: How to Prepare for Weight Loss Surgery

After scheduling weight loss surgery, patients often have questions and concerns about the impending procedure. Your team of healthcare providers will give you specific instructions about what to do to prepare for the operation. Follow physician recommendations carefully to minimize the risk of complications and to ensure that you get the best results possible.

Losing Weight

To slim down after gastric band surgery, or indeed gastric baypass surgery or gastric sleeve surgery, you will need a strong resolve to stop unhealthy eating habits. Many physicians recommend that patients drop a few pounds prior to surgery. This directive can be an effective way for health care providers to gauge overall commitment to a lifestyle change that will result in improved health. Your doctor may suggest that you lose between 15 and 30 pounds before scheduling your procedure. People who lose weight preoperatively often lose more during the post-op period. Weight loss prior to the procedure often shortens the time you will spend in the operating room, also, because surgeons can perform the procedure more easily. Losing weight also reduces the risk of complications.

Quitting Smoking

Doctors will urge smokers to quit prior to surgery. Smoking cigarettes not only causes serious long-term health issues such as emphysema and cancer, but it also makes it more likely that complications will occur. Patients who smoke are more likely to develop pneumonia after undergoing an operation.

Improving Diet

Health care providers typically refer patients to a nutritionist for dietary counseling. You will learn information about making healthier food choices, serving yourself smaller portions, and taking your time to eat. Making dietary changes prior to the procedure can make it easier to adapt to healthier eating after it is finished.

Psychological Evaluation

Overeating and compulsive eating usually leads to obesity. People who engage in these behaviors often have psychological issues connected with them. To make permanent and positive dietary changes, you may need to explore what led you to overeat in the first place. If you do not understand and resolve these psychological issues, you may not be able to overcome the behaviors after surgery. A psychological evaluation can help you learn about what motivates your behavior so you can make positive changes.

Seminars and Support

Many surgeons offer seminars designed to educate patients about what to expect from weight loss surgery. Attend these seminars so you know your options, and you are ready for typical issues. Your physician may also provide opportunities for participation in support groups with other patients. Sometimes seminars and other educational opportunities are required for preapproval from the surgeon and insurance plans.

Learning about Liquids

After weight loss surgery, you will have stringent rules about drinking liquids with your meals. You will not be able to drink beverages until at least one hour after you finish a meal. If you drink with a meal, the liquids could cause food to move through your stomach too quickly, which may cause excessive hunger. Drinking may also fill up your stomach too much, causing you to become malnourished or dehydrated because you are not eating and drinking correctly. Therefore, learn the rules about liquids and begin getting used to waiting to drink after meals.

Follow recommendations for weight loss surgery to ensure that your recovery is fast and successful.

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More obese teens should be given stomach stapling surgery – surgeon

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More obese teens should be given stomach stapling surgery –

Christchurch woman Brioney Henderson-McGregor, 26, had bariatric surgery 11 years ago but was reluctant to recommend it for young people.

“If I didn’t have the surgery I would be dead but then I was also too young because I didn’t understand the change I would have to make in my life. I was 15.”

Henderson-McGregor weighed 168kg, had type 2 diabetes and was waking several times a night because she had stopped breathing due to sleep apnoea.

She had been diagnosed with hyperinsulaemia, the over- production of insulin, which may have contributed to her constant and overwhelming desire to eat.

Henderson- McGregor lost about 70 kg after the surgery but developed an eating disorder after becoming scared to eat.

“My mental state got out of hand because I thought, ‘if I eat I’m going to get fat’.”

After the surgery, she was not able to play sport as she was told the staples could rupture.

As an 18-year-old, she said the operation restricted her ability to socialise because her friends wanted to drink and eat food she was not able to.

Now a part-time chef and studying towards a bachelor of science in nutrition, Henderson-McGregor said she could probably still lose 10-20kg but was not morbidly obese.

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Gastric Band Surgery Improves Insulin Sensitivity in Type 2 Diabetes Overweight Patients Diabetes …

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Gastric Band Surgery Improves Insulin Sensitivity in Type 2 Diabetes Overweight Patients Diabetes …Type 2 diabetes is the most common form of diabetes, affecting 90 to 95% of the individuals diagnosed with the disease. Patients with type 2 diabetes …See all stories on this topic

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Recent Interview with Lisa Lampanelli is Further Proof that Weight Loss Surgery Can Spur Major …

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Los Angeles, CA (PRWEB) July 16, 2015

“I turned back the clock, I’m reliving my life” 53 year-old insult comic Lisa Lampanelli told Yahoo! Beauty in a June 18 interview about her life after a successful gastric sleeve procedure two years ago. Big changes that go beyond weight loss do often happen with successful bariatric patients, notes Dr. Feiz and Associates. They note that while losing weight doesn’t address every problem in a person’s life, in the best cases it can help spur positive changes. Lisa Lampanelli, who lost more than 100 pounds with her procedure, is going back to school by taking drama classes at Yale and says that she is undergoing major spiritual and emotional transformations for the better. While this is just one example of a successful bariatric patient, Dr. Feiz & Associates note that many other people tend to pair their surgical weight loss with other types of positive personal change.

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CRMC to host Lap-Band® seminar

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CRMC to host Lap-Band® seminar

Cullman Regional Medical Center will host an Adjustable Lap-Band® System seminar Mon., July 13, from 6-8 p.m. in the Ave Maria Room at the hospital.

The workshop will be led by Dr. Mac Cottingham of Horizon Surgical. He will address the procedure, the lifestyle and diet changes that must be made for the surgery to be successful He will also offer financial and insurance information. The audience will also be able to ask questions. A workshop is required by CRMC for any patient who is considering a gastric surgery.

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Bariatric Surgery Center Re-opens in Mexico with New Gastric Sleeve Procedure

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According to the World Health Organization, the U.S. and Mexico have the highest rates of obesity in the world. In other words, one in six people in the state suffers from obesity while one in three teenagers also suffers from the same. The re-opening of the Gastric Sleeve Surgery Center in Mexico aims to reduce those numbers through new bariatric procedures. Headed by Dr. Huacuz, the facility has effectively opened its doors to Mexico and U.S. residents who wish to lose substantial weight in less time.

When asked about the inspiration behind the new procedure and facility, a spokesperson from the clinic had this to say, “The number of people suffering from obesity and massive weight gain is staggering to say the least. Traditional weight loss exercise regimes and diets barely make a dent for those whose BMI exceeds 30 or 40. Not only is the excessive weight harmful for their health, but it can be life threatening as well. Our new state of the art facility is equipped with the quality surgical equipment and trained staff who have experience treating and taking care of large patients.”

Gastric sleeveGastric Sleeve Procedure is a surgical technique that removes a large portion of the stomach and effectively reduces it to 75% of its original size. The stomach walls are then stapled together to create the sleeve which takes the shape of a narrow tube that effectively functions as a new stomach for the patient. In other words, the stomach is minimized to accommodate less food and thus aid weight loss post surgery. The procedure can be followed up by a traditional Gastric Bypass Surgery once the patient loses enough weight to make it applicable.

The procedure also eliminates the hunger inducing hormone, Ghrelin to reduce appetite. Most patients who opt for the surgery report that they feel full after eating a small meal and experience substantial weight loss after a few months post surgery. Many claim that they lost 58% of their weight after undergoing the procedure. However, according to doctors, regular exercise and a strict diet regime is necessary to see these numbers.

The procedure is comparatively non-invasive and does not require rerouting the intestines, nor does the surgeon need to plant a band around the stomach like other Bariatric surgeries. The procedure is typically advised for patients who are morbidly obese, i.e. those with a BMI over 40 and is safer compared to alternatives such as lap band and duodenal switch which can result in complications. One of the main benefits of the procedure is that no foreign objects are introduced in the body during surgery and which the staff at the Gastric Sleeve Surgery Center is quite knowledgeable about.

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