Recent advances in surgical treatment for obesity include laparoscopic gastric banding surgery, which provides a partnership for sustained weight loss. Obesity is defined as a BMI over 30 and affects 20% of adults, increasing risks for diseases like diabetes, hypertension, and some cancers. While diet and behavior changes often fail to provide long-term weight loss, surgery has been shown to result in 60% excess weight loss after 2 years through a gradual process, resolving comorbidities. The LAP-BAND system works by allowing small meals to satisfy hunger for long periods, providing an adjustable tool for significant weight loss.

1. Recent advances in surgical treatment for obesity Managing Obesity in Adults“Laparoscopic gastric band surgery, a partnership in sustained weight loss” 69 Lake Rd, Port Macquarie NSW Dr George PetrouBSc (Med) MBBS FRACS www.portlapsurgery.com.au

3. BMI (body mass index) = weight/height2 BMI > 25 = overweight (>50% adults) BMI > 30 = obese (20% adults) BMI > 35 = severe obesity (8% adults) The most common chronic illness in the Western world

4. The increase in severe obesity (USA) Sturm R. Arch Intern Med 2003;163(18):2146-8.

5. Prevalence : Australian trends

7. Class I BMI 30 –34.9

8. NORMAL BMI 18.5 –24.9

9. Class II BMI 35 –39.9

10. Class III

11. BMI  40

12. 4%

13. 45%

14. 6%

15. 33%

16. 12%

17. 1:10 of the Australian adult community may have a BMI >35

19. Hypertension

20. Sleep apnea

21. Depression

22. Joint pain

23. Infertility

24. Cancer

25. Acid reflux

26. Asthma

27. Calle EE, Michael MJ, Petrelli JM, et al. Body-mass index and mortality in a prospective cohort of US adults. N Eng J Med. 1999;341(15):1097-105.

30. Does Weight Loss Make a Difference?

32. 1

33. 2

34. 2

35. 3

36. 3

37. 3

38. 3

39. 4

41. Behavior therapy

42. Combined therapy

43. Change in Weight (kg)

44. 5-YearFollow-up

45. End ofTreatment

46. Baseline

48. Resolution of Diabetes: Recent Data Pontiroli AE et al. Diabetes Care. 2005;28:2703-2709. Ahroni JH et al. Obes Surg. 2005;15:641-647. Spivak H et al. Am J Surg. 2005;189:27-32. Ponce J et al. Obes Surg. 2004;14:1335-1342. Dixon JB, O'Brien PE. Diabetes Care. 2002;25:358-363. Torquati A et al. J Gastrointest Surg. 2005;9:1112-1118. Skroubis G et al. Obes Surg. 2006;16:488-495. Pories WJ. Presented at: NAASO-The Obesity Society Annual Scientific Meeting; October 20-24, 2006; Boston, Mass. White MA et al. Obes Res. 2004;12:949-955.

51. Gastric Bypass (GBP)

54. Class I BMI 30 –34.9

55. NORMAL BMI 18.5 –24.9

56. Class II BMI 35 –39.9

57. Class III

58. BMI  40

59. 4%

60. 45%

61. 6%

62. 33%

63. 12%

64. 1:10 of the Australian adult community

65. Potential candidates for surgery

66. * BMI (Body Mass Index): A measurement of an individual’s weight in relation to height (kg/m2).

69. %EWL

70. Years of Follow Up

72. The LAP-BAND® System Allows You toTame Your Hunger!

74. Next Steps If you would like to schedule a consultation to see if the LAP-BAND® System is appropriate for you: Contact our reception (02) 6584 3268 69 Lake Rd, Port Macquarie 2444 Reception @portlapsurgery.com.au www.portlapsurgery.com.au