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BMI < 35 kg/m 2 Gastric Bypass the BEST option 5 min V Congreso Internacional de Cirugia Bariatrica y Metabolica Mendoza A...
BMI:  Weighing the Risks Neural birth defects (versus BMI 19 - 27) Gallstones (versus BMI < 24) Degenerative arthritis (ve...
Diet Programs <ul><li>Nutrisystem, Jenny Craig, Weight Watchers </li></ul><ul><li>Slim fast, Adkins, South Beach, Hollywoo...
RCT: Surgery vs Best Medical Practice <ul><li>Conventional Therapy: Best Practice </li></ul><ul><ul><li>visits every 6 wee...
73% vs 13% Surgery vs Best Practice Conventional Therapy
<ul><li>Diets, Exercise programs, Behavior modification simply does not work </li></ul><ul><li>AGB - not as effective on m...
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By pass gástrico en imc menor de 35 por que si

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By pass gástrico en imc menor de 35 por que si

  1. 1. BMI < 35 kg/m 2 Gastric Bypass the BEST option 5 min V Congreso Internacional de Cirugia Bariatrica y Metabolica Mendoza Argentina May 19 & 20, 2011
  2. 2. BMI: Weighing the Risks Neural birth defects (versus BMI 19 - 27) Gallstones (versus BMI < 24) Degenerative arthritis (versus BMI < 25) High blood pressure (versus BMI 23) Type II diabetes (versus BMI 22 - 23) Death / cancer (versus BMI < 19) Death / heart disease (versus BMI < 19) Death / all causes (versus BMI < 19) 60% 110% 120% 480% 360% 210% 110% 80% 1,480% 2,660% 3,930% 5,300% 180% 260% 350% 400% 90% 270% 150% Body Mass Index (BMI) 26 27 28 29 30 31 32 33 34 35 Source: Scientific American 1996
  3. 3. Diet Programs <ul><li>Nutrisystem, Jenny Craig, Weight Watchers </li></ul><ul><li>Slim fast, Adkins, South Beach, Hollywood, Prism, Zone </li></ul><ul><li>Consume less calories </li></ul><ul><li>“Actual results may vary” </li></ul>1992 NIH study: “ 96-98% patients lost no weight or gained weight after 5 years in a medically supervised diet including behavior modification
  4. 4. RCT: Surgery vs Best Medical Practice <ul><li>Conventional Therapy: Best Practice </li></ul><ul><ul><li>visits every 6 weeks for 2 years </li></ul></ul><ul><ul><li>experienced diabetologist </li></ul></ul><ul><ul><li>exercise, VLCD, lifestyle, education </li></ul></ul>age: 20-60 T2 DM ≤ 2 years BMI 30-40 Surgery
  5. 5. 73% vs 13% Surgery vs Best Practice Conventional Therapy
  6. 6. <ul><li>Diets, Exercise programs, Behavior modification simply does not work </li></ul><ul><li>AGB - not as effective on metabolic syndrome - long-term safety in question </li></ul><ul><li>VSG - not reversible - long-term results are unknown </li></ul><ul><li>DS/BPD - long-term nutritional issues - social aspects </li></ul><ul><li>GBP: Best option for BMI < 35 and metabolic syndrome </li></ul>Summary

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