ON AIR NOW

LISTEN NOW

Weather

cloudy-day
85°
Mostly Clear
H 86° L 68°
  • cloudy-day
    85°
    Current Conditions
    Mostly Clear. H 86° L 68°
  • clear-day
    86°
    Today
    Mostly Clear. H 86° L 68°
  • partly-cloudy-tstorms-day
    81°
    Tomorrow
    Partly Cloudy T-storms. H 81° L 70°
LISTEN
PAUSE
ERROR

Wsb news on-demand

00:00 | 00:00

LISTEN
PAUSE
ERROR

Wsb traffic on-demand

00:00 | 00:00

LISTEN
PAUSE
ERROR

Wsb weather on-demand

00:00 | 00:00

Lap-band shown effective for long-term weight loss

More than 200,000 weight loss surgeries are performed each year in the U.S.

Several recent studies have questioned the effectiveness and safety of one type, gastric banding, which has led to a decline in its use as patients choose other surgical options.

But the largest and longest study yet of the procedure found that patients followed for up to 15 years maintained significant weight loss -- an average of about 60 pounds.

Study: Banding Effective for Weight Loss

About half the patients in the study needed additional surgeries to adjust the bands or deal with other complications, but only about 1 in 20 patients opted to have the bands removed.

Researcher Paul O’Brien, MD, of Melbourne, Australia’s Monash University, was a pioneer of the Lap-Band procedure, and his latest study was supported by Allergan Inc., which markets the gastric band system.

He says gastric banding offers an effective, reversible, long-term solution for weight loss as long as patients get good follow-up care and are willing to carefully control the way they eat.

The study is published in the January issue of the Annals of Surgery.

“Placing the band is just the first step in the process,” he says. “Compliance and follow-up are critically important. There are plenty of people out there doing this surgery without a follow-up program for their patients, and they are setting them up for failure.”

Banding, Bypass, and Sleeve Gastrectomy

The Lap-Band procedure is one of several weight loss surgeries performed in the U.S. and the only one that is easily reversible.

The band is an inflatable silicone ring that is wrapped around the upper part of the stomach to create a pouch the size of a golf ball, which limits the amount of food that can be eaten. The band can be tightened or loosened to increase or decrease the size of the opening to the lower stomach.

The most commonly performed type of gastric bypass surgery also reduces the size of the stomach to that of a golf ball. The surgery also bypasses a section of the small intestine, which limits calorie absorption.

The gastric sleeve procedure involves the surgical removal of a portion of the stomach to create a "sleeve" that connects to the small intestine.

Just a few years ago, gastric banding was widely seen as less risky, less costly, and less invasive than either of the other surgical options, and about half of weight loss procedures in the U.S. involved banding.

But that has changed as the long-term data comparing weight loss surgeries has come in, says Ronald H. Clements, MD, who directs the bariatric surgery program at Vanderbilt University Medical Center in Nashville.

Fewer Lap-Band Surgeries Performed

Clements says just five of the 360 weight loss surgeries performed at Vanderbilt last year were Lap-Band procedures.

“We have essentially stopped doing this operation,” he says. “The sleeve and the bypass are just better for helping people lose weight and keep it off. That’s what we are seeing in our patients and that’s what the data are telling us.”

A 2011 study from Belgium found that the bands eroded in 1 in 3 patients, while 60% required additional surgeries.

And a study published last year that compared banding to bypass surgery found that bypass patients lost more weight and kept it off over six years and had fewer complications.

Four years ago, as many as 40% of weight loss surgeries performed at Lenox Hill Hospital in New York involved gastric banding, says Mitchell Roslin, MD, who is chief of obesity surgery.

Today, the figure is closer to 3%.

“Last year we took out 80 bands and converted them to other procedures,” he says. “Patients do well in the short term, but they tend to have problems later on.”

Banding Good Option for Some

American Society for Metabolic & Bariatric Surgery President Jaime Ponce, MD, confirms that fewer Lap-Band surgeries are being performed in the U.S.

Allergan’s sales related to its Lap-Band system reportedly fell from close to $300 million in 2011 to about half that figure last year, and last fall the company announced that it was looking to sell its weight loss surgery division.

But Ponce says the surgery is still a good option for some patients.

“The band is a device that requires a lot of maintenance and multiple adjustments, and one problem is that our insurance system is not set up to pay for this,” he says.

He says gastric banding is much more popular and widely performed than gastric bypass in Australia.

“In Australia, aftercare is covered by national insurance, so patients don’t have to worry about paying for adjustments,” Ponce says.

And there are plenty of gastric banding success stories here in America, including New York Jets head coach Rex Ryan, who lost more than 100 pounds after having the procedure in March of 2010.

Ponce says patients who understand that gastric banding will require careful compliance and frequent follow-up visits to their doctor can achieve good results with the gastric banding surgery.

“Patients need to be followed, preferably every month or so,” he says. “If your surgeon doesn’t offer this kind of follow up, you need to go somewhere else.”

SOURCE:O’Brien, P.E. Annals of Surgery, January 2013.Paul O’Brien, MD, Center for Obesity Research and Education, Monash University, Melbourne, Australia.Ronald H. Clements, MD, director, bariatric surgery program, Vanderbilt University Medical Center, Nashville, Tenn.Mitchell S. Roslin, MD, chief of obesity surgery, Lenox Hill Hospital, New York, N.Y.Jaime Ponce, MD, president, American Society for Metabolic & Bariatric Surgery; director, bariatric surgery, Dalton Surgical Group and Medical Center, Dalton, Ga.News release, Monash University.

Read More
VIEW COMMENTS

There are no comments yet. Be the first to post your thoughts. or Register.

News

  • Two new strains of fentanyl are so deadly that they may be immune to naloxone, also known as Narcan, the drug used to save those who have overdosed, the Georgia Bureau of Investigation said Tuesday in a news release.  >> Watch the news report here >> Police say Narcan prevented them from charging man with DUI Acrylfentanyl and tetrahydrofuran fentanyl were not identified by the GBI until March, when the Forsyth County Sheriff’s Office submitted the drugs as part of forensic evidence. A month later, officials investigated four overdoses that killed two people in the county. At the time, authorities thought the overdoses were caused by a bad batch of deadly drugs such as heroin or fentanyl. >> Mom who lost son to opioid overdose shares heartbreaking photo Officials have not said if the two new strains are connected to the overdoses.  “It is not known how the human body will react to both drugs since they are not intended for human or veterinary use,” GBI spokeswoman Nelly Miles said. “The drugs can be absorbed through the skin and are considered highly dangerous.” >> Police officer overdoses after accidental contact with fentanyl on traffic stop One of the drugs – acrylfentanyl – was banned in Georgia in April, she said, and has been on the GBI watch list for months.  “It’s a very potent drug and there’s a high potential it has already killed people in Georgia,” Miles told WSB-TV. “There are multiple reports that (the drugs are) showing resistance to naloxone.”  >> Mass overdose kills four, a dozen more hospitalized in Georgia The new strains come three weeks after four people were killed and dozens suffered from overdoses in a two-day span in Middle Georgia. The chief medical officer at Navicent Health in Macon told The Atlanta Journal-Constitution that a new drug in the area was being sold as Percocet. It’s possible the drug could be homemade. 
  • A college student from Gwinnett County is doing his part to help fight hunger using technology.  Jack Griffin, a junior at the University of Michigan, was just a sophomore at Peachtree Ridge High School when he was touched by a news story showing kids his age homeless and in need of food.  “It’s such an invisible problem that, if you’re not impacted by it, it’s so hard to see,” he tells WSB.  While trying to find a place to volunteer, he found the search so cumbersome he knew it would be difficult for those in need to find them.   So, while still in high school, Griffin created the non-profit FoodFinder to help people locate nearby food pantries or free meals. He raised money to develop a website and then added a phone app last year.  “Eighty percent of these kids still have access to a phone. Sixty percent still have access to a smart phone. It’s not an iPhone 7-type deal, but they are going to have access to the internet because it’s a huge lifeline,” says Griffin.  He says organizations that offer food programs including the USDA have partnered with Foodfinder to make sure information on location and times are available on the app.  “There is about a thousand free resources all across the state of Georgia,” he says, with that number reaching more than 3,000 right now to make sure kids are fed during the summer months.  Griffin, who is a business major and community action minor, is working this summer to get the word out about the app and increase access to free meals. 
  • A grand jury indicted former DeKalb County Commissioner Stan Watson with theft Tuesday after he receiving about $3,000 in advances for government trips that he never took. Watson, 63, faces a single count of theft by conversion in DeKalb Superior Court, according to DeKalb District Attorney Sherry Boston’s office. Watson withdrew advance checks in January 2016 for conferences in Chicago and Savannah, but then he resigned from office in March 2016 to run for DeKalb Tax Commissioner. “The state alleges the expense money was then converted to personal use and not repaid until approximately one year later, well after Watson’s resignation,” according to a press release from Boston’s office. “County policy requires any funds advanced for travel but not actually used for said travel be returned to the county immediately.” A warrant was issued for Watson’s arrest, and he’s expected to surrender to authorities, the release said. Watson didn’t immediately return a phone message seeking comment. Exclusive to subscribers: Read the full story on myAJC.com. MYAJC.COM: REAL JOURNALISM. REAL LOCAL IMPACT. The AJC's Mark Niesse keeps you updated on the latest happenings in DeKalb County government and politics. You'll find more on myAJC.com, including these stories: Accused politicians try to undermine ethics oversight in Georgia DeKalb Sheriff Mann could retain office even if found guilty DeKalb police, firefighter pay raise plan revealed Never miss a minute of what's happening in DeKalb politics. Subscribe to myAJC.com. In other DeKalb news:
  • After nearly 40 years of fun, a major overhaul is in the works for Disney’s Epcot. >> Read more trending news Permits already filed reveal big changes for the Universe of Energy pavilion. Sources said a 'Guardians of the Galaxy' ride will likely be announced at D23, a fan event in California held in July. There is also talk of a 'Tron' light cycle ride, like the one in Japan. >> Read: Disney gets permit to add gondola rides at theme park WDW News Today said cast members are already being told Universe of Energy will close Oct. 1 to make room for a new roller coaster. “Those permits are already filed. That’s months ahead and people don’t think Universe of Energy will last through the year,” said Tom Corless of WDW News Today. Earlier this week, plans were also revealed for some kind of project between France and Morocco. It’s rumored it will be 'Ratatouille,' which is already in Disneyland Paris. “Clearly, the 'Ratatouille' ride, and whatever is going to replace Universe of Energy are happening immediately, like they’re going to begin construction by the end of the year,” Corless said. According to WDW News Today, work will begin this fall and will be executed in phases. The overhaul should be complete in five years, just in time for the park’s 40th birthday in the fall of 2022.
  • Phillips Arena, the home of the Atlanta Hawks, is undergoing a major $192 million renovation project.The Hawks made several big announcements about the transformation of Phillips Arena on Wednesday.Channel 2's Justin Wilfon is getting a tour of the Atlanta Hawks' home. Watch The Channel 2 Action News Nightbeat at 11 for more.When the project is finished, the home of the Hawks will feature the NBA's first courtside bar with a view of the court. FIRST LOOK: Renovated @ATLHawks arena will have first NBA courtside bar with view of the court pic.twitter.com/FaHhEI9lKD-- Darren Rovell (@darrenrovell) June 28, 2017 Hawks CEO Steve Koonin says the remodeled arena will also feature 'Swing Suites' with Topgolf simulators, a variety of new suites, a barbershop and several new clubs. The renovated @ATLHawks arena will have two 'Swing Suites' with @Topgolf simulators in them pic.twitter.com/r82VfKlaTX-- Darren Rovell (@darrenrovell) June 28, 2017 TRENDING STORIES: 'Cash me ousside' girl pleads guilty to charges Police: Father, son fight back after home invasion, suspect killed HUMAN PLAGUE: 7 things to know, symptoms, how to protect yourself Atlanta-based artists Killer Mike of the hip-hop group Run the Jewels and Zac Brown Band are a part of the transformation.Killer Mike has partnered with the arena to open up The S.W.A.G shop, a four-chair barbershop with a view of the court. 'We will open a 4-chair barber shop overlooking the court.' - @SteveKoonin on new S.W.A.G. Shop partnership with @KillerMike-- Atlanta Hawks (@ATLHawks) June 28, 2017 The country group Zac Brown Band will have a social club in the new arena.'It is a great day in the city of Atlanta, and for the Hawks organization,' said Atlanta Mayor Kasim Reed at the news conference. Mayor Reed speaking now at Hawks press conference. Says the renovation of Philips Arena is crucial to downtown. pic.twitter.com/Wq2cUoBXxL-- Justin Wilfon (@JustinWilfonWSB) June 28, 2017 Officials said the arena was in some ways built more for a hockey team. And now that they're gone, they'll focus on making Philips Arena a basketball venue.Work is expected to be complete in about 16 months.
  • Chile's biggest asset at the Confederations Cup isn't the dazzling attacking skill of Alexis Sanchez, or even Arturo Vidal's creativity. It's down-to-earth goalkeeper Claudio Bravo, who saves Chile when its hyper-aggressive pressing is no use at all — at the penalty spot. Recently recovered from injury, ridiculed by some fans in England following an erratic season at Manchester City, the 34-year-old was imperious in Wednesday's penalty shootout win over Portugal, stopping every shot he faced. He also made a key stop early in the game, which finished 0-0 after extra time. Bravo isn't charismatic — he talked calmly of feeling 'very balanced' after making the three saves that sent Chile to the Confederations Cup final. But he is the perfect symbol for a Chilean team which, despite its reputation for a swashbuckling attacking style, is happy to grind out wins when the pressure's on. For three years in a row now, Chile has specialized in tough, gritty wins over soccer's superstars. This time, it was Cristiano Ronaldo and Portugal, but in 2015 and 2016 it was Lionel Messi and Argentina who fell to Chile on penalties in consecutive Copa America finals, both after goalless draws. Those are the only major trophies Chile has ever won. Chile's style is still based on the aggressive approach of Marcelo Bielsa, who coached the team between 2007 and 2011, but that shouldn't be mistaken for recklessness. 'We were playing with our head as well as our heart,' Bravo said, and coach Juan Antonio Pizzi elaborated on the meticulous video research while allowed Bravo to predict where Portugal's penalties would go. 'You never know exactly what is going to happen, but you can prepare,' Pizzi said. 'Our goalkeeper could foresee what was going to happen and what the player was going to do.' Chile can win in style as a 7-0 demolition of Mexico last year showed, but its heavy emphasis on constant high pressing can produce a stalemate. The Chileans tired themselves out against Portugal — easy to do when it's your fourth game in 12 days — but the constant pressure also forced Portugal to tire, slowing the pace of much of the second half and extra time. For Bravo, though, the key is rock-solid self-belief ahead of a final Sunday against either Germany or Mexico. 'The secret of our success is that we're very constant,' he said. 'We never stop believing in ourselves and we want to do everything we can to win.