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Why do I need to have an endoscopy before surgery?

This is a common question asked by many patients having Lapband Surgery. A recent article published in the April 2009 issue of the journal Obesity Surgery helps to provide an answer.

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Gastric Banding Improves Metabolic Parameters in Obese Teenagers

NEW YORK (Reuters Health) Jun 12 - In teenagers who are morbidly obese, laparoscopic adjustable gastric banding (LAGB) can significantly improve or and even reverse the metabolic syndrome, according to a study reported this week at The Endocrine Society's 91st annual meeting in Washington, D.C.

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Body Mass Index Above Ideal Range Linked to Large Increase in Mortality Rate

Body-mass index (BMI) above the ideal range may cause a large increase in mortality rates, according to the results of a collaborative analysis of 57 prospective studies reported in the March 18 issue of Lancet.

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Adelaide Obesity Surgery Dietitian, Sally Johnston has joined forces with fellow dietitian Pennie Taylor, to publish a complete guide to food and nutrition following obesity surgery. This book will be based on the latest scientific evidence, however will translate the evidence into practical, easy to follow recommendations. Both Sally and Pennie are Accredited Practising Dietitians and Accredited Nutritionists, credentials obtained by being members of the Dietitians Association of Australia and taking part in their yearly Continuing Professional Development Program.

You are likely aware of a couple of recipe books that have emerged onto the market, targeted at individuals who have undergone obesity surgery, particularly lap band surgery. Alone, these publications provide limited guidance for patients in long-term dietary management. However with our pending publication we hope that we are able to provide structured guidance to support the patients ongoing needs.

Both Sally and Pennie have collaborated over time with patients from various bariatric backgrounds for their perspective. They have developed recipes for before and after surgery, modified these textures and appropriate serving sizes. These recipes are currently being tested by over 100 individuals who have had, or are having, obesity surgery. A chef is also reviewing the recipes for possible improvements to texture and/or taste. The recipes will be incorporated into menus for a complete guide to healthy living!

Recipes are currently being tested and if you would like to participate, please contact Sally via email: smj111@live.com.au or leave your details at Adelaide Obesity Surgery reception.

Gastric banding surgery more cost-effective for managing type 2 diabetes in obese than conventional care

Research led by the Centre for Obesity Research and Education (CORE), Monash University, Melbourne
World-first research reveals laparoscopic (keyhole) adjustable gastric banding (LAGB) surgery is more cost-effective than conventional weight loss methods for managing recently diagnosed type 2 diabetes in the obese.

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In an article published in the Journal of the American Medical Association in 2008, Maggard et al described a number of benefits experienced by patients who became pregnant folowing LapBand surgery, versus other obese patients who became pregnant without having had a LapBand inserted first. (Maggard MA et al. JAMA. 2008;300:2286-2296) . The results showed:

• Women who have had bariatric surgery and then become pregnant have a lower risk for adverse pregnancy outcomes vs obese pregnant women
• The review included 75 of 260 screened articles, 49% women 18 – 45 yrs, approximately 50,000 cases each year.
• Bariatric surgery group had lower rates of gestational diabetes (0% vs 22.1%; P < .05) and preeclampsia (0% vs 3.1%; P < .05).
• 13 other bariatric cohort studies showed similar findings

Morbidly Obese Patients Often Return to Work After Bariatric Surgery

NEW YORK (Reuters Health) Oct 18 - After undergoing gastric bypass surgery to treat morbid obesity, roughly one third of medically disabled patients can return to full-time work, according to a report in the October issue of the Archives of Surgery.

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Laparoscopic Banding Helps Obese Teens Lose Weight

October 10, 2007 (New Orleans) — Laparoscopic adjustable gastric banding (LAGB) in obese adolescents results in fat mass loss and resolution of most comorbidities, as indicated by preliminary results of a new study presented at the American College of Surgeons 93rd Annual Clinical Congress.

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Obese live longer after bypass

BOSTON: Gastric bypass surgery not only helps obese people drop weight and look better, it also helps them live significantly longer, according to two reports published yesterday.

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NEW YORK (Reuters Health) Jun 29

Morbidly obese patients who do not undergo weight-loss surgery face a substantially greater mortality risk than patients who undergo bariatric surgery, according to a presentation this week at the 23rd annual meeting of the American Society for Bariatric Surgery in San Francisco.

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Evidence for portion control plate

The Archives of Internal Medicine (Vol. 167 No. 12, June 25, 2007) has published the results of a randomised controlled study into a commercially available portion control plate on weight loss in a cohort of patients with type 2 diabetes.

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June 12, 2007 — Factors associated with weight regain after substantial weight loss are identified in a study in which data from the 1999 - 2002 National Health and Nutrition Examination Survey (NHANES) were analyzed. The study is published online June 5 and will appear in the July print issue of the American Journal of Preventive Medicine.

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April 13, 2007 (Seattle) - A bariatric surgery procedure used for treating severe obesity is now being explored as a cure for type 2 diabetes mellitus in normal-weight and moderately overweight patients with diabetes. Specific recommendations for using surgery in these patients are expected to appear this summer, according to a presentation here at the annual meeting and clinical congress of the American Association of Clinical Endocrinologists.

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Gastric Bypass Surgery Explored as Cure for Type 2 Diabetes

April 13, 2007 (Seattle) — A bariatric surgery procedure used for treating severe obesity is now being explored as a cure for type 2 diabetes mellitus in normal-weight and moderately overweight patients with diabetes. Specific recommendations for using surgery in these patients are expected to appear this summer, according to a presentation here at the annual meeting and clinical congress of the American Association of Clinical Endocrinologists.

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Obesity 'as bad as climate change

'TORY SHEPHERD (Adelaide Now)
March 13, 2007

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November 13th 2006

A STUDY has found that 97 per cent of the population has tried to change their diets but most inevitably lapse back into their old and unhealthy eating habits.

The Australian Psychological Society (APS), which surveyed more than 1200 people across Australia, found 97 per cent of the people it interviewed had tried to improve their health by changing their diets.

Gastric Banding Surgery May Help Promote Remission of Type 2 Diabetes in Obese Patients

January 23, 2008 — Obese patients with type 2 diabetes who had gastric banding surgery lost more weight and had a higher likelihood of diabetes remission than did patients who used conventional methods for weight loss and diabetes control, according to a preliminary, unblended, randomized controlled trial reported in the January 23 issue of the Journal of the American Medical Society.

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