Current Treatment Options for Obesity & Who Qualifies for Obesity Surgery? скачать в хорошем качестве

Current Treatment Options for Obesity & Who Qualifies for Obesity Surgery?

To learn more about the ReShape Dual Gastric Balloon Procedure from Dr. Marvin, click the link below. http://www.doctormarvin.com/obesity-t... To schedule a consultation with Dr. Marvin, click the link below or call (713) 993-7124. http://www.doctormarvin.com/appointme... Dr. Marvin: What's the current treatment for obesity? Well, we have medical treatment, it's not very effective. It tends to work better the closer you are to normal weight, so diet and exercise programs, I think, almost everybody's familiar with those. There are medications and a growing number of medications that are out there now for weight loss, and I went to the last ASMBS meeting last year and some of the biggest sponsors are the medication companies, the pharmaco companies, and they do have a number of medications that are out there. They do significantly work, and by significantly, I mean they're shown to work better than a placebo. But when you compare them to surgery or a device like the ReShape Balloon, they're not as good for weight loss, and really are talking usually somewhere in the range of 7% to 10% extra body weight loss with the medications. They tend to be expensive and a lot of them have side effects, and the pill in the picture's fen-phen, which we all know, there were problems in the past. Behavioral modification probably helps on a variety of levels, but for weight loss, it has never been shown to be very effective on its own, or even in combination with diet and exercise. So, the heavier you are, the less likely that's gonna be a major component. So, the problem with medical therapy is the further you get away from normal weight, the less effective it is, so that's a problem. Efficacy is the main problem. Medical treatments are pretty safe, but are they gonna work, are they gonna bring your weight down? Are they going to reduce your relative risk for the long run? There's a problem there. At the other end of the spectrum, we have surgery, that's what I do, I have been doing for years. And I can tell you right now, it's very effective for bringing down weight in all kinds of patients, the patients who barely qualify to the patients that come in that are 500 and 600 pounds. I mean, it's very effective at reducing their weight. It is also very effective in curing the other medical problems, so the diabetes and the high blood pressure, and the high cholesterol. And that's why surgery is around for this problem, it is the best solution for taking care of those issues. The problem with surgery, of course, comes when we look at the risk, so...that is the main issue with surgery right there. And we have to justify the danger of the medical problem we treat with surgery as being more dangerous than the risk profile of the operation, so we have to balance those things. Every time I talk to a patient, we're looking at those factors, so is your obesity bad enough to justify the risk of going through an operation? So, in fact, the NIH in 1991 had a big conference about this. They were looking at gastric bypass and vertical banded gastroplasty, and these are sort of the numbers they came up with, the cutoffs for whose medical risk from their weight was high enough to justify an operation. So when we look at our patients, pretty much we use these numbers. The insurance companies use these numbers, Medicare and Medicaid uses these numbers, and that's the point of having the cutoff, is that the people above this probably have a considerable medical risk, so it's worth going through surgery. The people below that, it starts to get murky whether their risk is high enough to justify the risk of an operation. So that leaves a big gap, a big gap between people who are a little bit overweight and where diet and exercise is pretty effective, and the people that are a lot overweight, and suffering from it, and are able to have surgery. So this is actually off ReShape's website on the physician's side, and that's why it says "Customers," but I put it in here because we're really talking about a large number of people in the United States. Sixty million people fit into this, sort of, no man's land of between surgery and medical treatment. So what is the answer? This is not the answer. It's kind of funny, but it's kind of not really funny because I can tell you that guy is probably not gonna live a normal life. He has a sense of humor, but I think some things are going to catch up with him, so...