Bariatric Surgery & The AspireAssist
_Due to the shortcomings of diet and exercise approaches, bariatric surgery has become recognized as the most effective solution for long-term weight loss. For many patients, bariatric surgery has produced considerable long-term weight loss. This weight loss has important medical benefits, including normalizing blood glucose in patients with type 2 diabetes,[i] preventing the future development of diabetes,[ii] improving or normalizing blood pressure in patients with hypertension,[iii],[iv] improving or eliminating obstructive sleep apnea,[v],[vi],[vii] decreasing joint pain,[viii] and improving health-related quality of life.[ix] However, these surgical options also have many potential complications that must be carefully weighed against the potential benefits. The AspireAssist is a breakthrough minimally-invasive therapy that has been shown to provide similar weight loss results, without many of the serious complications of invasive surgery.
Gastric Bypass Surgery
_ The gastric bypass procedure, also known as Roux-en-Y Gastric Bypass, involves the creation of a small stomach pouch by stapling across or completely transecting the stomach. The surgeon then attaches a lower section of small intestine directly to the stomach pouch. Therefore, this procedure reduces the capacity of the stomach from about 1.5 liters to about 30 ml (about the volume of a golf ball) and causes food to bypass most of the stomach and the upper portion of the intestines.
>> Compare Gastric Bypass to Aspiration Therapy.
Vertical Sleeve Gastrectomy
__ Sleeve Gastrectomy procedures reduces the size of the stomach by over 80%. In this procedure, the surgeon staples across and removes most of the stomach, leaving a banana-sized stomach sleeve.
>>Compare Sleeve Gastrectomy to Aspiration Therapy
_Laparoscopic Adjustable Gastric Banding (LAP-BAND® and Realize® Band)
__ Laparoscopic adjustable gastric banding (LAGB) involves surgically placing an adjustable band around the upper stomach.
>>Compare Gastric Banding to Aspiration Therapy
__ Aspiration Therapy provides obese people with the ability to achieve healthy portion control through an entirely new, minimally-invasive method. With Aspiration Therapy, patients can remove a portion of ingested food from the stomach, preventing its delivery into the rest of the digestive system for absorption. Aspiration Therapy must be used in conjunction with lifestyle therapy to improve eating habits and to increase physical activity.
>>Learn more about Aspiration Therapy
_[i] Sugerman HJ, Sugerman EL, Wolfe L, Kellum JM, Schweitzer MA, DeMaria EJ. Risks and benefits of gastric bypass in morbidly obese subjects with severe venous stasis disease. Ann Surg 234:41-46, 2001.
[ii] Sjostrom CD, Peltonen M, Wedel H, Sjostrom L. Differentiated long-term effects of intentional weight loss on diabetes and hypertension. Hypertension 36:20-25, 2000.
[iii] Foley EF, Benotti PN, Borlase BC, Hollingshead J, Blackburn GL. Impact of gastric restrictive surgery on hypertension in the morbidly obese. Am J Surg 163:294-297, 1992.
[iv] Carson JL, Ruddy ME, Duff AE, Holmes NJ, Cody RP, Brolin RE. The effect of gastric bypass surgery on hypertension in morbidly obese subjects. Arch Intern Med 154:193-200, 1994.
[v] Sugerman HJ, Fairman RP, Sood RK, Engle K, Wolfe L, Kellum JM. Long-term effects of gastric surgery for treating respiratory insufficiency of obesity. Am J Clin Nutr 55:597S-601S, 1992.
[vi] Barvaux VA, Aubert G, Rodenstein DO. Weight loss as a treatment for obstructive sleep apnea. Sleep Med Rev 4:435-452, 2000.
[vii] Charuzi I, Ovnat A, Peiser J, Saltz H, Weitzman S, Lavie P. The effect of surgical weight reduction on sleep quality in obesity-related sleep apnea syndrome. Surgery97:535-538, 1985.
[viii] McGoey BV, Deitel M, Saplys RJ, Kliman ME. Effect of weight loss on musculoskeletal pain in the morbidly obese. J Bone Joint Surg 72:322-323, 1990.
[ix] Karlsson J, Sjostrom L, Sullivan M. Swedish obese subjects (SOS)--an intervention study of obesity. Two-year follow-up of health-related quality of life (HRQL) and eating behavior after gastric surgery for severe obesity. Int J Obes Relat Metab Disord 22:113-126, 1998.