Recent advances in surgical treatment for obesity<br />Managing Obesity in Adults“Laparoscopic gastric band surgery, a partnership in sustained weight loss”<br />69 Lake Rd, Port Macquarie NSW<br />Dr George Petrou BSc (Med) MBBS FRACS<br />
Obesity: Definition<br /><ul><li> Imbalance between calorie intake&expenditure
BMI (body mass index) = weight/height2</li></ul> BMI > 25 = overweight (>50% adults) <br /> BMI > 30 = obese (20% adults)<br /> BMI > 35 = severe obesity (8% adults)<br />The most common chronic illness in the Western world<br />
Obesity:Prevalence<br /><ul><li>3.25 million Australians * 2005
Calle EE, Michael MJ, Petrelli JM, et al. Body-mass index and mortality in a prospective cohort of US adults. N Eng J Med. 1999;341(15):1097-105.
Flegal KM, Graubard, B. I., Williamson, D.F., Gail, M.H. Excess deaths associated with underweight, overweight and obesity. JAMA. April 20, 2005 2005;293(15):1861-1867.</li></li></ul><li>Diseases Attributable to Obesity<br /><ul><li>Relative Risk of Developing Certain Diseases Over the Next Decade For Men With BMI >351
1. Lopes HF, Egan BM. Autonomic dysregulation and the metabolic syndrome: Pathologic partners in an emerging global pandemic. Arq Bras Cardiol. 2006;87:489-498.</li></li></ul><li>Medical Complications of Obesity1<br /><ul><li>Pulmonary Disease
1. Wing RR, Koeske R, Epstein LH, et al. Long-term effects of modest weight loss in type II diabetic patients. Arch Intern Med. 1987;147(10):1749-53. 2. Mertens IL, Van Gaal LF. Overweight, obesity, and blood pressure: the effects of modest weight reduction. Obes Res. 2000;8(3):270-8. 3. Blackburn G. Effect of degree of weight loss on health benefits. Obes Res. 1995;3 Suppl 2:211s-216s. 4. Ditschuneit HH, Frier HI, Flechtner-Mors M. Lipoprotein responses to weight loss and weight maintenance in high-risk obese subjects. Eur J Clin Nutr. 2002;56(3):264-70.</li></li></ul><li>Short-term Obesity Therapy Does Not Result in Long-term Weight Loss<br /><ul><li>Diet alone
Source: Wadden TA, Sternberg JA, Letizia KA, et al. Treatment of obesity by very low calorie diet, behavior therapy, and their combination: a five-year perspective. Int J Obes. 1989;13 Suppl 2:39-46</li></li></ul><li><ul><li>0
Source: Perri MG, McAllister DA, Gange JJ, et al.Effects of four maintenance programs on the long-term management of obesity. J Consult Clin Psychol. 1988 Aug;56(4):529-34. </li></li></ul><li>Weight loss sustained with surgery!<br />weight loss<br />%<br />Year<br />
Resolution of Diabetes: Recent Data<br />Pontiroli AE et al. Diabetes Care. 2005;28:2703-2709. Ahroni JH et al. Obes Surg. 2005;15:641-647. Spivak H et al. Am J Surg. 2005;189:27-32. Ponce J et al. Obes Surg. 2004;14:1335-1342. Dixon JB, O'Brien PE. Diabetes Care. 2002;25:358-363. Torquati A et al. J Gastrointest Surg. 2005;9:1112-1118. Skroubis G et al. Obes Surg. 2006;16:488-495. Pories WJ. Presented at: NAASO-The Obesity Society Annual Scientific Meeting; October 20-24, 2006; Boston, Mass. White MA et al. Obes Res. 2004;12:949-955.<br />
* BMI (Body Mass Index): A measurement of an individual’s weight in relation to height (kg/m2).
BEACH 2003-2004 the Australian adult population data consistent with AUSDIAB data</li></li></ul><li>How much weight will I lose?<br />Slow, gradual weight loss (0.5 kg per week)<br />60% excess weight loss in 2 years <br />Requires life-long commitment to change<br />Requires long-term follow-up<br />
The LAP-BAND® produces similar sustained weight loss as more invasive surgery<br /><ul><li>Weight loss is gradual!
O’Brien P, McPhail T, Chaston T, & Dixon J Obes Surg. 2006: 16; 1032-1040.</li></li></ul><li>But how does it work?<br />
The LAP-BAND® System Allows You toTame Your Hunger!<br />
<ul><li>The LAB-BAND® System acts by allowing small meals to satisfy for a long period – You can choose to eat less without becoming hungry. It “Tames Hunger” providing a tool you can work with to allow significant weight loss</li></li></ul><li>The LAP-BAND® System Is Affordable<br />Private health insurance<br />Reimburses cost of LAP-BAND device, theatre staff, time and equipment to do operation<br />Reimburses most of hospital stay<br />There are “out of pocket” specialist fees<br />Can I take out insurance now? YES<br />BAND adjustments- $15 “out of pocket” charge per adjustment<br />
Next Steps<br />If you would like to schedule a consultation to see if the LAP-BAND® System is appropriate for you:<br />Contact our reception (02) 6584 3268<br />69 Lake Rd, Port Macquarie 2444<br />Reception @portlapsurgery.com.au<br />