1. Recent advances in surgical treatment for obesity Managing Obesity in Adults“Laparoscopic gastric band surgery, a partnership in sustained weight loss” 69 Lake Rd, Port Macquarie NSW Dr George PetrouBSc (Med) MBBS FRACS www.portlapsurgery.com.au

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

5. Prevalence : Australian trends

7. Class I BMI 30 –34.9

8. NORMAL BMI 18.5 –24.9

9. Class II BMI 35 –39.9

10. Class III

11. BMI  40

12. 4%

13. 45%

14. 6%

15. 33%

16. 12%

17. 1:10 of the Australian adult community may have a BMI >35

19. Hypertension

20. Sleep apnea

21. Depression

22. Joint pain

23. Infertility

24. Cancer

25. Acid reflux

26. Asthma

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.

30. Does Weight Loss Make a Difference?

32. 1

33. 2

34. 2

35. 3

36. 3

37. 3

38. 3

39. 4

41. Behavior therapy

42. Combined therapy

43. Change in Weight (kg)

44. 5-YearFollow-up

45. End ofTreatment

46. Baseline

48. Resolution of Diabetes: Recent Data 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.

51. Gastric Bypass (GBP)

54. Class I BMI 30 –34.9

55. NORMAL BMI 18.5 –24.9

56. Class II BMI 35 –39.9

57. Class III

58. BMI  40

59. 4%

60. 45%

61. 6%

62. 33%

63. 12%

64. 1:10 of the Australian adult community

65. Potential candidates for surgery

66. * BMI (Body Mass Index): A measurement of an individual’s weight in relation to height (kg/m2).

69. %EWL

70. Years of Follow Up

72. The LAP-BAND® System Allows You toTame Your Hunger!

74. Next Steps If you would like to schedule a consultation to see if the LAP-BAND® System is appropriate for you: Contact our reception (02) 6584 3268 69 Lake Rd, Port Macquarie 2444 Reception @portlapsurgery.com.au www.portlapsurgery.com.au