This document discusses recent advances in surgical treatment for obesity, focusing on laparoscopic gastric band surgery. It provides definitions of obesity, discusses the prevalence and health risks of obesity in Australia. It then summarizes the LAP-BAND system, how it works to promote weight loss through gradual restriction of food intake and sustained feelings of fullness. It notes that LAP-BAND produces similar long-term weight loss as more invasive surgeries, with affordable costs covered partly by private health insurance. Interested patients are instructed to contact the clinic for a consultation.

1. Recent advances in surgical treatment for obesityManaging Obesity in Adults“Laparoscopic gastric band surgery, a partnership in sustained weight loss”69 Lake Rd, Port Macquarie NSWDr George Petrou BSc (Med) MBBS FRACS

2. Obesity: Definition Imbalance between calorie intake&expenditure

3. BMI (body mass index) = weight/height2 BMI > 25 = overweight (>50% adults) BMI > 30 = obese (20% adults) BMI > 35 = severe obesity (8% adults)The most common chronic illness in the Western world

4. Obesity:Prevalence3.25 million Australians * 2005

5. 15.1% males

6. 16.8% females

7. $3.767 billion The increase in severe obesity (USA)Sturm R. Arch Intern Med 2003;163(18):2146-8.

8. Prevalence : Australian trends

9. The weight problem in Australia today OVERWEIGHTBMI 25 –29.9

10. Class I BMI 30 –34.9

11. NORMAL BMI 18.5 –24.9

12. Class II BMI 35 –39.9

13. Class III

14. BMI  40

15. 4%

16. 45%

17. 6%

18. 33%

19. 12%

20. 1:10 of the Australian adult community may have a BMI >35

21. BEACH 2003-2004 the Australian adult population data consistent with AUSDIAB dataHealth Risks and Increased Risk of MortalityDiabetes

22. Hypertension

23. Sleep apnea

24. Depression

25. Joint pain