Navigation Links
Gastric Lap-Band Surgery Can Send Diabetes Into Remission
Date:1/22/2008

It helps patients shed more pounds than dieting and exercise do, study shows

TUESDAY, Jan. 22 (HealthDay News) -- New research suggests that gastric lap-band surgery isn't only for the most obese; it can also combat diabetes in people who aren't severely fat.

Still, the surgery is extremely expensive and carries risks. However, the findings show promise for people with diabetes who need alternative ways to shed pounds, said study author John Dixon, a obesity researcher at Monash University in Melbourne, Australia.

"It doesn't seem to matter how you lose it," Dixon said. "This particular study shows that it's the weight loss that has the effect."

Gastric weight-loss surgery has rapidly grown in popularity in the United States over the past several years. The goal of the operation is to reduce the size of the stomach so people don't eat as much.

Meanwhile, cases of diabetes continue to skyrocket as Americans get heavier and heavier.

Previous studies have shown that gastric-bypass operations can reduce the incidence of diabetes in patients, Dixon said. The purpose of the new study was to determine if patients do as well when they undergo the less drastic gastric lap-band surgery, a procedure in which a band is placed around the upper stomach, limiting the amount of food that can pass through.

In the new study, researchers looked at 55 diabetes patients defined as obese with body-mass indexes between 30 and 40. In layman's terms, these people are carrying around more than a few extra pounds, but they're not so severely overweight that they'd require two seats in an airplane. (People with a body-mass index of above 40 are at least 100 pounds overweight.)

The patients were randomly assigned to either undergo gastric banding or to try to lose weight through diet and exercise.

After two years, diabetes went into remission in 22 of 30 surgery patients and just four of 30 diet-and-exercise patients. Those who had surgery lost an average of 20.7 percent of their body weight, while the dieting group lost only 1.7 percent of their body weight. "You can see the stunning differences between the two groups," Dixon said.

The difference appeared to be due to the amount of weight that the patients lost rather than the specific approach they used. In other words, if the diet-and-exercise patients had managed to lose as much weight as the surgical patients, their diabetes may have been as well-controlled.

"This tells us that you need to lose substantial weight before you'll reverse the diabetes," Dixon said.

The findings are published in the Jan. 23 issue of the Journal of the American Medical Association.

So should diabetics rush to get gastric band operations? The cost could stop many of them.

The procedure costs an average of $18,000 in the United States, Dixon said. By contrast, diet and exercise are free.

"The problem is that it's hard to lose weight" by using traditional, non-surgical methods, Dixon said.

Dr. Alan Wittgrove, medical director of the bariatric program at Scripps Memorial Hospital in La Jolla, Calif., said the study provides "great information" that adds to research about other gastric weight-loss procedures.

"It's nice to have something in the literature that says the band works well for diabetes," he said, although he added that it's important to note that success rates vary depending on where the procedure is done.

And what of the argument that fat people should just eat less and visit the gym? In some cases, overweight people with diabetes "don't really have the opportunity to lose weight and be healthier, oftentimes because of the medication they're on," he said.

More information

Learn more about bariatric surgery from the National Institutes of Health.



SOURCES: John Dixon, Ph.D., researcher, head of clinical research, Center for Obesity and Research Education, Monash University, Melbourne, Australia; Alan Wittgrove, M.D., medical director, bariatric program, Scripps Memorial Hospital, La Jolla, Calif.; Jan. 23, 2008, Journal of the American Medical Association


'/>"/>
Copyright©2008 ScoutNews,LLC.
All rights reserved  

Related medicine news :

1. FDA Approves REALIZE(TM) Adjustable Gastric Band for Morbid Obesity
2. Helicobacter pylori inhibits intercellular communication of cultured gastric cells
3. MetaCure(TM) Launches Investigational Study of Gastric Stimulator for Patients With Type 2 Diabetes Who are Overweight
4. EndoGastric Solutions Opens Three Training Centers to Keep Up with Demand from Surgeons Wanting to Learn StomaphyX(TM) Procedures
5. Gastric cancer survivors should be aware of osteoporosis
6. One Surgery Often Enough for Peritonitis
7. Single-incision belly-button surgery to remove kidney performed first at UT Southwestern
8. Surgery for severe obesity saves lives
9. Some Epilepsy Patients Are Good Candidates for Surgery
10. Jefferson specialists studying innovative surgery for effectively treating sleep apnea
11. Hypnosis Eases Pain of Breast Cancer Surgery
Post Your Comments:
*Name:
*Comment:
*Email:
Related Image:
Gastric Lap-Band Surgery Can Send Diabetes Into Remission
(Date:2/5/2016)... ... February 05, 2016 , ... The Muscular Dystrophy Association and ... launched the 14th annual “Appetite for a Cure” campaign on Feb. 1 to ... and related diseases that severely limit strength and mobility. , Now through ...
(Date:2/5/2016)... , ... February 05, 2016 , ... ... President George H. Van Allen have signed a joint enrollment and degree completion ... seamless pathway toward associate and baccalaureate degrees at FHU|Dickson. , The agreement ...
(Date:2/5/2016)... , ... February 05, 2016 , ... US Sports ... Studio in Dover, NH to direct high-performance kids yoga training. ChildLight Yoga Studio is ... just one hour from Boston. , ChildLight Yoga Studio founder Lisa Flynn expresses her ...
(Date:2/5/2016)... New York (PRWEB) , ... February 05, 2016 , ... ... use and find themselves having to wait longer to access the treadmills. It’s a ... New Year’s resolutions to lose weight and get in shape by joining gyms, starting ...
(Date:2/5/2016)... ... February 05, 2016 , ... Pivot ... 2015 Best in KLAS: Software & Services for HIT Implementation Support & Staffing ... report independently ranks vendor performance by healthcare executives, managers and clinicians representing over ...
Breaking Medicine News(10 mins):
(Date:2/4/2016)... Feb. 4, 2016 Mettler-Toledo International Inc. (NYSE: ... 2015.  Provided below are the highlights: , ... compared with the prior year.  Reported sales decreased 3% ... quarter. , Net earnings per diluted share as ... prior- year period.  Adjusted EPS was $4.65, an increase ...
(Date:2/4/2016)... ALBANY, N.Y. , Feb. 4, 2016  AMRI (NASDAQ: ... Vice President of Pfizer Inc. and President of Pfizer Global ... effective as of February 4, 2016. In addition, the Company ... member of the audit committee since 2010, has retired from ... time and attention to his other business ventures.  ...
(Date:2/4/2016)... SIOUX FALLS, S.D. , Feb. 4, 2016 ... patient and guest technology solutions, today announced that ... SONIFI Health Senior Living Engagement System. The system ... information tool that residents access through a tablet ... --> The resident engagement system provides access ...
Breaking Medicine Technology: