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Recent advances in surgical treatment for obesity<br />Managing Obesity in Adults“Laparoscopic gastric band surgery,  a pa...
Obesity: Definition<br /><ul><li> Imbalance between calorie intake&expenditure
 BMI (body mass index) = weight/height2</li></ul> BMI &gt; 25 = overweight 	(&gt;50% adults) <br /> BMI &gt; 30 = obese 	(...
The increase in severe obesity (USA)<br />Sturm R. Arch Intern Med 2003;163(18):2146-8.<br />
Prevalence : Australian trends<br />
The weight problem in Australia today <br /><ul><li>OVERWEIGHTBMI 25 –29.9
Class I BMI 30 –34.9
NORMAL BMI 18.5 –24.9
Class II          BMI 35 –39.9
Class III
BMI   40
  4%
45%
 6%
33%
12%
1:10 of the Australian adult community may have a BMI >35
BEACH 2003-2004 the Australian adult population data consistent with AUSDIAB data</li></li></ul><li>Health Risks and Incre...
Hypertension
Sleep apnea
Depression
Joint pain
Infertility
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Lapband Seminar Port Lap Surgery

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Transcript of "Lapband Seminar Port Lap Surgery"

  1. 1. 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 PetrouBSc (Med) MBBS FRACS<br />www.portlapsurgery.com.au<br />
  2. 2. Obesity: Definition<br /><ul><li> Imbalance between calorie intake&expenditure
  3. 3. BMI (body mass index) = weight/height2</li></ul> BMI &gt; 25 = overweight (&gt;50% adults) <br /> BMI &gt; 30 = obese (20% adults)<br /> BMI &gt; 35 = severe obesity (8% adults)<br />The most common chronic illness in the Western world<br />
  4. 4. The increase in severe obesity (USA)<br />Sturm R. Arch Intern Med 2003;163(18):2146-8.<br />
  5. 5. Prevalence : Australian trends<br />
  6. 6. The weight problem in Australia today <br /><ul><li>OVERWEIGHTBMI 25 –29.9
  7. 7. Class I BMI 30 –34.9
  8. 8. NORMAL BMI 18.5 –24.9
  9. 9. Class II BMI 35 –39.9
  10. 10. Class III
  11. 11. BMI  40
  12. 12. 4%
  13. 13. 45%
  14. 14. 6%
  15. 15. 33%
  16. 16. 12%
  17. 17. 1:10 of the Australian adult community may have a BMI >35
  18. 18. BEACH 2003-2004 the Australian adult population data consistent with AUSDIAB data</li></li></ul><li>Health Risks and Increased Risk of Mortality<br /><ul><li>Diabetes
  19. 19. Hypertension
  20. 20. Sleep apnea
  21. 21. Depression
  22. 22. Joint pain
  23. 23. Infertility
  24. 24. Cancer
  25. 25. Acid reflux
  26. 26. Asthma
  27. 27. 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.
  28. 28. 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
  29. 29. 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>BMI & death<br />
  30. 30. Does Weight Loss Make a Difference?<br />
  31. 31. Impact of Weight Loss on Risk Factors<br /><ul><li>1
  32. 32. 1
  33. 33. 2
  34. 34. 2
  35. 35. 3
  36. 36. 3
  37. 37. 3
  38. 38. 3
  39. 39. 4
  40. 40. 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
  41. 41. Behavior therapy
  42. 42. Combined therapy
  43. 43. Change in Weight (kg)
  44. 44. 5-YearFollow-up
  45. 45. End ofTreatment
  46. 46. Baseline
  47. 47. 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>Weight loss sustained with surgery!<br />weight loss<br />%<br />Year<br />
  48. 48. 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&apos;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 />
  49. 49.
  50. 50. Most Common Surgical Options <br /><ul><li>The LAP-BAND® System Adjustable Gastric Banding
  51. 51. Gastric Bypass (GBP)
  52. 52. Sleeve Gastrectomy (SG)</li></li></ul><li>The LAP-BAND® System<br />
  53. 53. Am I a candidate for Surgery? <br /><ul><li>OVERWEIGHTBMI 25 –29.9
  54. 54. Class I BMI 30 –34.9
  55. 55. NORMAL BMI 18.5 –24.9
  56. 56. Class II BMI 35 –39.9
  57. 57. Class III
  58. 58. BMI  40
  59. 59. 4%
  60. 60. 45%
  61. 61. 6%
  62. 62. 33%
  63. 63. 12%
  64. 64. 1:10 of the Australian adult community
  65. 65. Potential candidates for surgery
  66. 66. * BMI (Body Mass Index): A measurement of an individual’s weight in relation to height (kg/m2).
  67. 67. 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 />
  68. 68. The LAP-BAND® produces similar sustained weight loss as more invasive surgery<br /><ul><li>Weight loss is gradual!
  69. 69. %EWL
  70. 70. Years of Follow Up
  71. 71. 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 />
  72. 72. The LAP-BAND® System Allows You toTame Your Hunger!<br />
  73. 73. <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 />
  74. 74. 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 />www.portlapsurgery.com.au<br />
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