Probably the most common type of weight loss surgery completed in the western World. gastric sleeve surgery in FranceSAN DIEGO USA — For obese patients with type 2 diabetes, bariatric surgery and an intensive medical weight management program were both effective for weight loss and improving glucose control and patient-reported quality of life, according to data presented at ENDO 2015. “In patients with type 2 diabetes, reduced health status and quality of life are often associated with symptoms of poor glycemic control, high glycemic variability, presence of diabetes complications and many other issues,” Donald C. Simonson, MD, MPH, ScD, of Harvard University in Boston, said during a presentation. To compare the differential effects of patient-reported outcomes after weight loss achieved by laparoscopic adjustable gastric band (LAGB) or an intensive medical diabetes and weight management program (IMWM), the researchers evaluated weight loss, HbA1c levels and self-reported mental, physical and quality of life health scores in 40 patients diagnosed with type 2 diabetes who were randomly assigned to undergo LAGB surgery (n=18) or a 12-week multidisciplinary IMWM program (n=22). Patients’ mean age was 51 years; mean duration of type 2 diabetes was 9 years; mean HbA1c level was 8.2%; and mean BMI was 36.5. Follow-up lasted 12 months. At baseline, both groups had comparable SF-36 physical health (76) and mental health (75) status scores as well as moderately elevated Impact of Weight on Quality of Life (IWQOL) and Problem Areas in Diabetes (PAID) scores (59 and 46, respectively). After achieving 10% weight loss or after 3 months if 10% weight loss was not achieved, the researchers observed “highly significant and nearly identical” weight loss in both groups (LAGB, –9.7 kg vs. IMWM, –9.2 kg), according to Simonson. Improvements in HbA1c were also similar (LAGB, –1.0% vs. –1.7%; P=.06). The researchers also noted that SF-36 physical health and self-reported mental health scores improved minimally from baseline, with no significant differences between the LAGB and IMWM groups. At 12 months, weight loss was significantly greater after LAGB (–13.5 kg vs. –8.5 kg; P<.05), but there was no difference in lowering of HbA1c (–1.2% vs. –1.0%), according to the study results. SF-36 physical health and mental health scores changed minimally compared with the earlier assessment, with no differences between groups. Significant improvements in IWQOL (–14 vs. –11) and PAID (–13 vs. –13) from baseline were found in both LAGB and IMWM, respectively (P<.01 vs. baseline for both groups), but the effects were similar. Data also delineated a correlation between improvement in HbA1c and patient’s self-assessment of diabetes-specific emotional distress as assessed by PAID (P<.01) in both treatment groups. In light of these results, the researchers concluded that, in obese patients with type 2 diabetes, both LAGB and IMWM result in significant weight loss and reductions in HbA1c, according to the data. Although weight loss was significantly greater after LAGB, improvement in HbA1c was similar in both treatment arms, they noted. Further, both treatments are associated with moderate and comparable changes in self-reported physical and mental health status SF-36 scores, and both treatments are associated with significant reductions on the impact of weight on quality of life and problem areas in diabetes. “Both treatments should be considered effective options for improving weight, glucose control, health status and quality of life in obese patients with type 2 diabetes,” Simonson said.
- Simonson DC et al. Abstract OR01-2. Presented at: The Endocrine Society’s 97th Annual Meeting & Expo (ENDO 2015); March 5-8, 2015; San Diego.
Now doctors give boy 12 gastric band:From a report from the
Gastric band surgery is only offered to obese patients as a last resort, and children or teenagers must meet a strict criteria before they are even considered for the procedure. To qualify, the NHS Gastric Band Criteria is that they must have a body mass index of more than 40, have reached puberty, have first tried to slim through dieting or exercise, and have a full understanding of the psychological implications.
But even with these stringent rules, Government figures show the number of young people under 19 having a gastric band on the NHS doubled between 2007 and 2013, when more than 200 children had the surgery.
The Gastric Band Cost per operation for the NHS is more than £7,000.
Official statistics from the National Bariatric Surgery Register, which is compiled from surgeons’ reports, reveal that the 12-year-old boy is the youngest child to have been fitted with a gastric band within this group, although it is not recorded if the operation was publicly or privately funded.
NHS statisticians said the youngest patient they had on record for bariatric surgery paid for by the Health Service was 13.
However, many surgeons argue that the stomach bands could save the NHS money through reducing levels of obesity and associated illnesses such as type 2 diabetes, which are estimated to cost the Health Service £5 billion a year.
Dr Lucy Stirling, a clinical psychologist at King’s College Hospital, said parents whose children are facing gastric band surgery can fail to take responsibility for their child’s weight issues.
She said: ‘Parents can be in denial of the part they have played.
‘But children need to be brought up to eat in such a way that they’re nurturing their body rather than slowly damaging it.’
Paediatric consultant Ashish Desai added: ‘Some parents, when they come to us, have the idea that if their child has the surgery it will act like a magic wand.’
is probably possibly the most commonly known type of obesity surgery done Worldwide. compare best price Gastric Band Cost
Can you hypnotise yourself thin with a £4.99 app?
Paul McKenna says yes, but doctors claim it’s simply misleading and a ‘gimmick’
- Paul McKenna is calling his new app a ‘gastric band, surgery free weight-loss solution’
- Claims hypnotherapy is scientifically proven method of shedding pounds
- But doctors say he’s giving customers false idea of the results they’ll see
- Hypnotic Gastric Band app claims to convince ‘unconscious mind’ that surgical implant has been fitted
The smartphone market is flooded with downloads that promise to help users shed pounds.
Some, like McKenna’s, even claim to use hypnotherapy to mimic the results of drastic and costly weight-loss surgery.
However, top surgeons have warned that, in their opinion, giving customers the impression they will see the same results as gastric band surgery is wrong.
The surgical procedure, which costs about £6,000, involves doctors implanting an inflatable band around the top of the stomach to create a small pouch, so patients feel fuller quicker.
McKenna says his £4.99 Hypnotic Gastric Band app is a ‘surgery-free weight-loss solution’ that ‘can help convince the unconscious mind that a gastric band has been fitted, so the body behaves as though a band is physically present’.
But Dr Carel le Roux, a lead physician at London’s Imperial College Healthcare’s obesity service, dismisses these claims as ‘a gimmick’. He says: ‘Hypnosis isn’t powerful enough to be effective in the long term.’
Consultant surgeon Paul Super, from the BMI Priory Hospital in Birmingham, agrees. He says: ‘It might be called a hypnotic gastric band, but is no more a physical operation than a hypnotic pacemaker or hypnotic hip replacement. If it worked, then why aren’t thousands of patients having Gastric Band NHS ? Read more <<HERE >>