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 Petrou BSc (Med) MBBS FRACS

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

5. 15.1% males

6. 16.8% females

8. Prevalence : Australian trends

10. Class I BMI 30 –34.9

11. NORMAL BMI 18.5 –24.9

12. Class II BMI 35 –39.9

13. Class III

14. BMI  40

15. 4%

16. 45%

17. 6%

18. 33%

19. 12%

20. 1:10 of the Australian adult community may have a BMI >35

22. Hypertension

23. Sleep apnea

24. Depression

25. Joint pain

26. Infertility

27. Cancer

28. Acid reflux

29. Asthma

30. 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.

33. Abnormal Function

34. Obstructive Sleep Apnea

35. Hypoventilation Syndrome

36. Idiopathic Intracranial Hypertension

37. Stroke

38. Cataracs

39. Nonalcoholic Fatty

40. Liver Disease

41. Steatosis

42. Steatohepatitis

43. Cirrhosis

44. Coronary Heart Disease

45. Diabetes

46. Dyslipidemia

47. Hypertension

48. Severe Pancreatitis

49. Gall Bladder Disease

50. Cancer

51. Breast, Uterus, Cervix,

52. Colon, Esophagus, Pancreas,

53. Kidney, Prostate

54. Gynecologic Abnormalities

55. Abnormal Menses

56. Infertility

57. Polycystic Ovarian Syndrome

58. Osteoarthritis

59. Phlebitis

60. Venous Stasis

61. Skin

62. Gout

64. Does Weight Loss Make a Difference?

66. 1

67. 2

68. 2

69. 3

70. 3

71. 3

72. 3

73. 4

75. Behavior therapy

76. Combined therapy

77. Change in Weight (kg)

78. 5-YearFollow-up

79. End ofTreatment

80. Baseline

82. -2

83. -4

84. -6

85. -8

86. -10

87. -12

88. -14

89. -16

90. 0

91. 1

92. 2

93. 3

94. 4

95. 5

96. 6

97. 7

98. 8

99. 9

100. 10

101. 11

102. 12

103. 13

104. 14

105. 15

106. 16

107. 17

108. -18

110. Maintenance tx

111. Weight Loss (%)

112. Diet andbehaviormodificationtherapy

113. P<0.05

114. I

115. 18

117. 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&apos;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.

120. Gastric Bypass (GBP)

123. Class I BMI 30 –34.9

124. NORMAL BMI 18.5 –24.9

125. Class II BMI 35 –39.9

126. Class III

127. BMI  40

128. 4%

129. 45%

130. 6%

131. 33%

132. 12%

133. 1:10 of the Australian adult community

134. Potential candidates for surgery

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

138. %EWL

139. Years of Follow Up

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

143. 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