Per ASMBS: Links to Obesity and WLS news this week

[Dr-Patient 830]

FYI, if interested: Excuse its length, but here's the email blast I received of today's ASMBS' Connect: News topics of the week re: obesity and WLS. You might find some articles of interest to you. They sent:

The following is a summary/brief analysis of the obesity and surgery stories making news this week:

Company Seeks FDA Approval for Balloon System for Obesity… Retinopathy Stable After Bariatric Surgery…Sleeve Gastrectomy vs. Medical Management for Diabetes… UK May Seen Huge Increase in Bariatric Surgery… New Clues on How Metabolic Surgery Affects Diabetes…Sharon Osbourne Felt Like a Cheat After Surgery… Obesity Worse Than Smoking… Childhood Obesity Drops in NYC… Stigma Around Obesity Persists…

Metabolic and Bariatric Surgery in the News…

ReShape Submits Dual Balloon System Application to FDA (Bariatric News)

ReShape Medical is seeking FDA approval for the ReShape Integrated Dual Balloon System, "the first and only dual balloon for non-surgical weight loss designed for people with a BMI 30-40." According to the company, the system is the first device to meet its primary effectiveness endpoints in a U.S. randomized, sham-controlled pivotal trial. Dr. Jaime Ponce, Principal Investigator in the so-called REDUCE trial, commented, “Meeting the primary endpoints is an important accomplishment, as it convincingly demonstrates the superiority of the ReShape procedure over diet and exercise alone. The ReShape procedure offers a new alternative to help patients kick-start weight loss and learn new behaviours. We are excited about what this new treatment option may do for millions of people needing to lose excess weight.” The device has been available in the E.U. since December 2011. ReShape Medical anticipates a launch in the U.S. in mid-to-late 2015.

No Change in Retinopathy in Diabetes 2 Years After Surgery (Medscape)

Results from the STAMPEDE trial presented at the American Diabetes Association 2014 Scientific Sessions show no change in diabetic retinopathy for patients two years after bariatric surgery. Lead author Dr. Rishi P. Singh commented that he was “pleasantly reassured” that there wasn’t a higher incidence or significant progression of the disease after surgery. He said the results demonstrate that regular eye exams are still important for this patient population. "This is the first time that a prospective, randomized clinical trial has shown that intensive medical management vs gastric bypass doesn't appear to increase the retinopathy incidence or progression, nor does it increase the rate of vision loss or changes in intraocular blood pressure (a sign of glaucoma)," he added. Dr. Bruce Wolfe, bariatric surgeon at Oregon Health and Science University, commented on the results saying, "The induction of remission or improvement in diabetes control is positive for the patient, but drawing conclusions about the many-year process of diabetic complications of diabetic neuropathy or diabetic retinopathy is premature." Additionally, he added that patients who are informed that their diabetes has gone into remission after they have had bariatric surgery may think, "I don't need to go to these eye assessments anymore," but that would be too hasty, he stressed.

Better Long-term Diabetes Outcomes with Sleeve Gastrectomy vs. Medical Management (Healio)

Laparoscopic sleeve gastrectomy helped adults with type 2 diabetes achieve better blood glucose control than standard care alone, according to research presented at the joint meeting of the International Congress of Endocrinology and the Endocrine Society. To determine long-term outcomes of diabetes in patients with sleeve gastrectomy vs. medical care alone, investigators reviewed medical records of veterans with type 2 diabetes, ages 18 to 80, undergoing the surgery at a VA medical center in a major metropolitan area. Two years of data from the charts of 30 patients treated with surgery were compared to 23 control patients. All patients had received medical treatment and been part of the MOVE national weight management program designed by the VA National Center for Health before being offered surgery. Significant improvements in BMI and HbA1c were seen in patients with surgery at one year, with improvements sustained through the end of two years; BMI decreased from 46 to 34 and HbA1c from 7.25% to 5.98%. These kinds of outcomes were not witnessed in patients without surgery during the study. At study completion, 76% of patients with surgery were able to discontinue or reduce their diabetes medications, compared with 26% of patients receiving medical treatment only.

Thousands More to Get Obesity Ops on the NHS: NICE Calls for Huge Increase in Surgery - But Even Obesity Charities Condemn It (Daily Mail)

New draft guidance from the U.K.’s National Institute of Health and Care Excellence (Nice) suggests that people with obesity who have type 2 diabetes should be assessed for bariatric surgery under the country’s National Health Service (NHS). At present weight loss surgery is given to patients on the NHS who have morbid obesity with a BMI score of over 40 or to those who have a BMI over 35 and who have another serious health condition - such as type 2 diabetes. But now Nice is suggesting that people with a BMI score of 30 to 35 should be considered for an assessment for surgery under the NHS if they have been diagnosed within the last 10 years. This could mean hundreds of thousands more patients could be considered for treatment. The draft guideline also recommends that people who have undergone bariatric surgery under the NHS should have a "follow up care package" for at least two years after their operation. However, opponents of the guidelines say it is wrong of Nice to recommend that the NHS offer operations costing £5,000 when the agency faces a £30billion deficit.

Scientists Discover Clues Why Weight-loss Surgery Cures Diabetes (Medical Xpress)

A study published in the journal Endocrinology found the actions of specialized cells in the intestine that secrete a cocktail of powerful hormones when we eat may help bring us a step closer to understanding why gastric bypass surgery "cures diabetes in most patients." The research team showed that gut hormone cells previously thought to contain just one hormone, had up to six hormones including the hunger hormone ghrelin. Study team leader Dr. Craig Smith, a Senior Lecturer in Molecular Cell Physiology at University of Manchester, commented, “Understanding the messages the gut sends out when we eat food and when things go wrong, as is the case in diabetes, is our next challenge and hopefully one that will result in the development of drugs which could be used instead of surgery to cure obesity and prevent diabetes.”

Sharon Osbourne Opens Up About Feeling Like a ‘Cheat’ After Gastric Bypass Surgery (NY Daily News)

In an interview with Entertainment Tonight, Sharon Osbourne commented that she has “secret shame” about having bariatric surgery in 1999. "I felt (like) such a cheat when I had that band on my stomach,” she said. "People are saying, 'You look wonderful! I'd go, 'Thank you, I just have to leave and vomit.'" Osbourne had the gastric band removed in 2006 and says she controls her weight through the low-carb Atkins diet, but admitted she struggles because she is still a food addict.

Obesity in the News…

Extreme Obesity Cuts Lifespan More than Smoking: Study
(Reuters, CBSNews.com, Voice of America)

Extensive media coverage of the “largest-ever study of the effect of extreme obesity on mortality,” which showed the “most extreme cases” may shorten a person's lifespan more than smoking. Scientists at the National Cancer Institute found people who suffered from severe obesity died 6.5 to 13.7 years earlier than people of healthy weight. A data review was conducted of 20 large studies from U.S., Sweden and Australian, which included 9,564 adults with extreme obesity and 304,011 of normal weight. Heart disease, cancer, and diabetes were mostly responsible for an increased risk of dying “at any given time” when BMI rose to levels of extreme obesity. The study was published in the journal PLOS Medicine.

Severe Childhood Obesity Shows a Decline in New York City (Reuters)

The prevalence of severe obesity among school children in New York City was down by almost 10% in the 2010-11 school year compared to the 2006-07. Earlier research had shown a decline in overall obesity among NYC public school children, but the prevalence of severe obesity had not been studied. The new study, published in the journal Preventing Chronic Disease, shows NYC rates “buck national trends.” Height and weight measurements were recorded for 947,765 children attending public schools in kindergarten through eighth grade. Severe obesity fell from 6.3% of the children in the 2006-07 school year to 5.7% in 2010-11. The change represents a 9.5% decrease. The prevalence of severe obesity was highest among boys, minorities and poor children. Additionally, while prevalence declined in every group, the greatest decrease was among white students and wealthy students.

Many Obese Women Face Stigma Every Day, Study Finds
(HealthDay)

A new study found women who were overweight or suffered from obesity were likely to be faced with frequent, daily insults and humiliation from strangers, family and friends. Researchers recruited 50 women who were asked to log their “weight-stigmatizing” events in a diary during the course of a week. A total of 1,077 occurrences were reported including physical barriers (84%), nasty comments from others (74%), being stared at (72%) and others making negative assumptions (72%). Each woman experienced an average of three negative events over a seven-day period. Researchers found BMI was “the most significant factor associated with all forms of stigma except that caused by interpersonal relationships.” Ted Kyle, advocacy advisor for The Obesity Society, felt the study was limited due to the size and lack of data from other groups including males and other ethnic groups as most participates were white. He commented, “Most everybody struggles with some kind of health issue but obesity is something you wear on the outside.” The study was published recently in the Journal of Health Psychology.

[Goddardgo 90]

Thanks for posting this!! I will be sleeved in just a few days! I have been trying to get my husband on board because he was just diagnosed type 2 diabetic last fall and his surgery would be FREE if he did it this year because mine is taking care of our out of pocket max, but he is convinced that just diet and exercise will do the trick.. I'm making him read this