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The Lap-Band The Facts. Why the fuss Obesity is increasing at an alarming rate Co – existing conditions including NIDDM are posing significant problems.

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Presentation on theme: "The Lap-Band The Facts. Why the fuss Obesity is increasing at an alarming rate Co – existing conditions including NIDDM are posing significant problems."— Presentation transcript:

1 The Lap-Band The Facts

2 Why the fuss Obesity is increasing at an alarming rate Co – existing conditions including NIDDM are posing significant problems

3 Criteria for Surgery BMI > 35 with co-morbidity BMI >40 Exceptions

4 How does it work?

5 How is it done

6 FACTS Low morbidity operation Requires MDT input Adjunct to weight loss – NOT a guarantee Failures – 15-20% of people Average of 50% EWL Loss is slow and steady – 0.5 – 1kg/week Follow up is for life

7 Roux En Y Gastric Bypass Diabetes 70-80% EWL Higher morbidity

8 Sleeve gastrecomy

9 Case study Mrs X Type 2 diabetes and BMI of 46 Long history of diets The Yo-Yo dieter Insulin recently commenced ? Band ? More diets ? Drugs

10 What next Under went extensive pre-op counselling regarding the lap band Information session GP specialist – close liaison with LMO if abnormal results Dietition Psychologist Surgeon

11 What Happened Lap Banding Lost 28 kg over 12 months HbA1c – 7.8 pre op to 6.3 and insulin has now stopped Part of a banding support group and she is happy

12 Diabetes and Lap-Band Recent research (dixon et al.2002) has shown that 64% of people with type 2 diabetes have remission of diabetes after Lap-Band Remission defined as Normal fasting BSL/Insulin level and normal HbA1c Average HbA1c drop from over 12 months

13 MIOS Multidisciplinary clinic in Boronia Local service Achieving excellent results 85 Lap Bands No major complications Audit Offer alternatives to lap band if appropriate


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