Doctors are a new type of obesity surgery without cuts in the abdominal wall, a tube snaking thick as a garden hose in the throat with a snap-staples in the stomach. The experimental, scar-free procedure creates a narrow passage slows, that food, as a result of the stomach in the upper abdomen, patients feel full faster and eat less.
Doctors say the results of about 200 U.S. and 100 patients in Europe promising.
After about 18 months, the obese patients in Europe have lost an average of about 45% of body weight, said Dr. Gregg Nishi, a surgeon, Cedars-Sinai Medical Center in Los Angeles. He reviewed the European and American studies at a conference in Chicago this week for specialists in gastrointestinal disease.
The procedure is that in studies that have recently closed to registration. Manufacturer of the device, in the federal plan for the authorization if the research to go further than expected.
While both studies are in progress and that little information is published, Nishi said results so far are a bit better than the results of conventional stomach shirts.
Risk of perforation of the esophagus, as Nishi for a patient to another center, but he said there were no more complications.
Some studies of patients have lost weight, without knowing the procedure wrong – sedation and the tube, but no shirts. Results of a comparison with reality are not yet available.
Liliana Gomez, coordinator of Management Cedars-Sinai was one of the first Americans, the obesity surgery Scarless recent years, a test for the U.S. study. She had expected more invasive conventional surgery doctors learn that during his investigation of the clinic were Scarless shirts technique.
“When I learned he was to be administered orally, by mouth, I was like,” Wow, that kind of different, “she says.
These operations, in August, Gomez has about 40 pounds and went from size 22 to size 16th
35 years old mother of three has a long way to go – he is still obese by BMI standards. But Gomez says she has parts of their food by more than half, and still believe completely, and he is optimistic, it is also to continue to lose weight.
The new procedure is part of the movement for medical surgery body through openings as the nose, mouth and vagina instead of reductions. The idea is that the chances of infection and pain, and speed. No scars are cosmetic advantages, too.Gomez had gastric bypass operation, a complex form of the stomach shirts, but concerned about the risks of the operation. It reduces the stomach to the size of a golf ball and reroute the digestive tract.
Whether through a large abdominal cut or are small, gastric bypass is more invasive and increase the chances of malnutrition because they Reposition as stomach intestine able to limit calorie intake.
Another very surgical weight loss option includes a set band implementation of the upper part of the stomach, a small pocket.
The experimental method was Gomez version is a continuation of the hearing of another type of surgery of the stomach, the size of the stomach with staples, but not reroute the digestive system.
Surgery is usually the last aid in the treatment of obesity, more than 15 million Americans. Nevertheless, demand is high. More than 200,000 Americans are expected, as the traditional forms of obesity surgery in the year, according to the American Society for Metabolic & Bariatric Surgery.
Dr. Scott Shikora, president of the society, hearing exciting and innovative, but said: “It is too early for us to say that this will be a breakthrough.”
U.S. obesity Shikora said many surgeons prefer the redirect operation or flexible groups, and it remains to be seen whether the oral method has the same drawbacks as the procedure more shirts obsolete.
The American study, in 10 centers. Patients are at least a year, with final results expected in 2010. They are selected at random, or for operating or receiving an injection.
Nishi said 25 patients in his clinic, 17, the real treatment, without complications.
“I am very impressed by their” Nishi said. So far, it appears as “a real alternative,” he says.
Saturation Inc, a Californian company, medical devices, technology, is paying for research. Nishi said he has no financial relations of the company.
At Washington University School of Medicine in St. Louis, where the first procedure was the United States last summer, about 30 patients with treatment. Side effects are minimal, including sore throats, nausea and abdominal pain of less than one week, “said Dr. Christopher J. Eagon. He said the loss of weight in it the results are not yet available.
Source
Doctors say the results of about 200 U.S. and 100 patients in Europe promising.
After about 18 months, the obese patients in Europe have lost an average of about 45% of body weight, said Dr. Gregg Nishi, a surgeon, Cedars-Sinai Medical Center in Los Angeles. He reviewed the European and American studies at a conference in Chicago this week for specialists in gastrointestinal disease.
The procedure is that in studies that have recently closed to registration. Manufacturer of the device, in the federal plan for the authorization if the research to go further than expected.
While both studies are in progress and that little information is published, Nishi said results so far are a bit better than the results of conventional stomach shirts.
Risk of perforation of the esophagus, as Nishi for a patient to another center, but he said there were no more complications.
Some studies of patients have lost weight, without knowing the procedure wrong – sedation and the tube, but no shirts. Results of a comparison with reality are not yet available.
Liliana Gomez, coordinator of Management Cedars-Sinai was one of the first Americans, the obesity surgery Scarless recent years, a test for the U.S. study. She had expected more invasive conventional surgery doctors learn that during his investigation of the clinic were Scarless shirts technique.
“When I learned he was to be administered orally, by mouth, I was like,” Wow, that kind of different, “she says.
These operations, in August, Gomez has about 40 pounds and went from size 22 to size 16th
35 years old mother of three has a long way to go – he is still obese by BMI standards. But Gomez says she has parts of their food by more than half, and still believe completely, and he is optimistic, it is also to continue to lose weight.
The new procedure is part of the movement for medical surgery body through openings as the nose, mouth and vagina instead of reductions. The idea is that the chances of infection and pain, and speed. No scars are cosmetic advantages, too.Gomez had gastric bypass operation, a complex form of the stomach shirts, but concerned about the risks of the operation. It reduces the stomach to the size of a golf ball and reroute the digestive tract.
Whether through a large abdominal cut or are small, gastric bypass is more invasive and increase the chances of malnutrition because they Reposition as stomach intestine able to limit calorie intake.
Another very surgical weight loss option includes a set band implementation of the upper part of the stomach, a small pocket.
The experimental method was Gomez version is a continuation of the hearing of another type of surgery of the stomach, the size of the stomach with staples, but not reroute the digestive system.
Surgery is usually the last aid in the treatment of obesity, more than 15 million Americans. Nevertheless, demand is high. More than 200,000 Americans are expected, as the traditional forms of obesity surgery in the year, according to the American Society for Metabolic & Bariatric Surgery.
Dr. Scott Shikora, president of the society, hearing exciting and innovative, but said: “It is too early for us to say that this will be a breakthrough.”
U.S. obesity Shikora said many surgeons prefer the redirect operation or flexible groups, and it remains to be seen whether the oral method has the same drawbacks as the procedure more shirts obsolete.
The American study, in 10 centers. Patients are at least a year, with final results expected in 2010. They are selected at random, or for operating or receiving an injection.
Nishi said 25 patients in his clinic, 17, the real treatment, without complications.
“I am very impressed by their” Nishi said. So far, it appears as “a real alternative,” he says.
Saturation Inc, a Californian company, medical devices, technology, is paying for research. Nishi said he has no financial relations of the company.
At Washington University School of Medicine in St. Louis, where the first procedure was the United States last summer, about 30 patients with treatment. Side effects are minimal, including sore throats, nausea and abdominal pain of less than one week, “said Dr. Christopher J. Eagon. He said the loss of weight in it the results are not yet available.
Source
