‘Balloon-in-a-Pill’ May Be New Weight-Loss Weapon

‘Balloon-in-a-Pill’ May Be New Weight-Loss Weapon

News Picture: 'Balloon-in-a-Pill' May Be New  Weight-Loss WeaponBy Alan Mozes
HealthDay Reporter

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THURSDAY, Nov. 5, 2015 (HealthDay News) — Could losing weight ever be as easy as swallowing a pill? Preliminary research suggests the answer may very well be yes.

Testing is underway to assess the potential of a gastric balloon that’s packed inside a standard-sized capsule attached to a tiny catheter.

Once swallowed, this capsule descends into the stomach, where its shell dissolves. The released balloon is then pumped up with buffered distilled water via the catheter, which is removed through the mouth.

If all goes as planned, the resulting grapefruit-sized (19-ounce) ball of water fills the stomach and significantly curbs the amount of food someone can eat before feeling satiated.

After about four months, the balloon automatically deflates, at which point its thin shell is naturally excreted.

The device, called Elipse and manufactured by Allurion Technologies of Wellesley, Mass., has yet to be tested in American patients for U.S. Food and Drug Administration approval. Researchers say that under the best of circumstances, it won’t be available in the United States for another two to three years.

However, early research involving 34 patients in the Czech Republic and Greece suggests that the noninvasive intervention seems safe and effective.

In four months time, patients lost an average of 37 percent of their excess weight (about 22 pounds each), the researchers report.

The device is considered an aid to weight loss, not a cure, experts noted.

“Because patients get used to feeling full so much quicker with the device, they learn portion control and get used to eating less,” said study author Dr. Ram Chuttani, director of interventional gastroenterology and endoscopy at Beth Israel Deaconess Medical Center in Boston. “We anticipate that the improved eating habits patients develop will mean that a significant amount of the weight will stay off, even when the balloon is no longer in place.”

The trial was funded by Allurion, and the results were scheduled for presentation Thursday in Los Angeles at Obesity Week. The annual meeting is hosted by the American Society for Metabolic and Bariatric Surgery and the Obesity Society. Because research presented at meetings hasn’t gone through the rigorous peer review required of published studies, it is usually considered preliminary.

Chuttani said thicker, silicon-based gastric balloons have been available for about 15 years outside the United States. This year, the FDA approved two traditional gastric balloon systems, which require an endoscopy — a minimally invasive procedure — for implantation in the stomach.

This is not the case with Elipse, which is described as “procedureless.”

Prior tracking of traditional gastric balloon patients suggests there are long-term benefits. For example, Chuttani said that after a year patients typically keep off about half the pounds lost while the balloon was in place. That figure dips to about 30 percent five years post-procedure, he said.

Typical side effects with traditional gastric balloons include nausea and vomiting, which was also the case among Elipse trial participants, the researchers said.

Dr. John Morton, chief of bariatric and minimally invasive surgery at Stanford University in Palo Alto, Calif., said a noninvasive approach might ultimately reach a wider pool of obese adults, given that invasive approaches are typically reserved for severely obese patients — those with a body-mass index (BMI) of 35 and up.

By contrast, Elipse is intended for patients with a BMI as low as 27, said Morton, who is also president of the society for metabolic and bariatric surgery. A BMI of 27 is overweight but not obese. BMI is an assessment of body fat based on height and weight.

“We know the risk for mortality, and disease starts to edge up with a BMI of around 30,” said Morton.

An approach that “affords the promise of earlier intervention to address the huge public health problem that is obesity” would be a great additional tool, he said.

However, noting that these new results stem from one small study, Morton said more research is needed. “But so far it looks to be quite safe and reasonably effective, so I think it’s quite promising,” he said.

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SOURCES: Ram Chuttani, M.D., director, endoscopy, and chief, interventional gastroenterology, Beth Israel Deaconess Medical Center, Boston; John Morton, M.D., president, American Society for Metabolic and Bariatric Surgery, and chief, bariatric and minimally invasive surgery, Stanford University; Nov. 5, 2015, presentation, Obesity Week, Los Angeles

Weight-Loss Surgery Often Brings Less Painful Joints: Study

Weight-Loss Surgical treatment Usually Brings Less Excruciating Joints: Research

News Picture: Weight-Loss Surgery Often Brings Less Painful Joints: Study

WEDNESDAY, Nov. 4, 2015 (HealthDay News)– Aching knee as well as hip joints could harm much less after successful weight-loss surgical procedure, a brand-new research suggests.

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“Particularly, walking is easier, which impacts patients’ capacity to adopt a much more literally active way of living,” lead researcher Wendy King said in a press release from the ObesityWeek meeting.Weight-loss surgical treatment isn’t really

a”wonder drug “for joint pain for every person, nonetheless.

“Some people continuously have considerable discomfort as well as special needs” even after the procedure, claimed King, who is an associate professor of public health at the University of Pittsburgh’s Graduate Institution of Public Health.King’s team was to

provide the conclusions Wednesday at the ObesityWeek meeting in Los Angeles, which is held by the American Society for Metabolic and Bariatric Surgical procedure and The Excessive weight Society.In the study, the researchers tracked end results for even more than 2,200 overweight individuals, ordinary age 47. All had gone through weight-loss (bariatric )surgery at one of 10 hospitals across the United States.In the 3 years after surgery, 57 percent of patients that had actually had substantial mobility limitations before the procedure not had them, and also concerning 70 percent of those that ‘d had extreme knee and also hip pain or disability had renovations in joint discomfort as well as feature, the researchers found.However, one in six people still called for numbing pain medicine, 26 percent still had problems manipulating around and also there were vast variations in numerous actions of discomfort, impairment as well as physical feature, the researchers said.Overall, however,”our research discovered that medically meaningful renovations in bodily discomfort, specific joint discomfort, and also both viewed and also fairly measured physical feature, are usual following bariatric surgical procedure,”King said.Certain kinds of individuals– more youthful, more upscale men in specific– had the tendency to do better after surgery.Also, people who went right into the surgical procedure with a relatively reduced weight did far better than the really overweight, King’s group found.”Excessive weight could influence the knees and hips and create physical pain due to all the added anxiety it places on the joints.

Because of this, bone and joint troubles are fairly typical amongst bariatric individuals, “Dr. John Morton, president of the American Culture for Metabolic and Bariatric Surgery, claimed in the information launch. Morton is likewise chief of bariatric as well as minimally invasive surgery at Stanford College Institution of Medication in Palo Alto, Calif. “Bariatric surgical treatment could help decrease or reverse that discomfort and also improve function, but the longer one copes with excessive weight, the much less enhancement one might have.

In certain cases, some harm to the joints may be irreversible,”included Morton, who was not entailed in the study.Findings offered at medical meetings are normally taken into consideration preliminary until released in a peer-reviewed journal.– Robert Preidt MedicalNews Copyright © 2015 HealthDay. All civil liberties reserved.SOURCE: Weight problems Week, information launch, Nov. 4, 2015

Better Sex Life May Be a Weight-Loss Surgery Bonus

Better Sex Life May Be a Weight-Loss Surgical treatment Benefit

News Picture: Better Sex Life May Be a Weight-Loss Surgery Bonus

WEDNESDAY, Nov. 4, 2015 (HealthDay News)– Following weight-loss surgical procedure, task in the room could get as the extra pounds fall away, a new research study availables.

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The research study recommends the result could be lasting, and similar for both males and females.

“Improvements in sex life are an added advantage that surpasses fat burning,” stated Dr. John Morton, president of the American Culture for Metabolic as well as Bariatric Surgical procedure (ASMBS). He was not associated with the new study.The findings were to be provided Wednesday in L.a at Weight problems Week, a yearly meeting hosted by ASMBS as well as The Excessive weight Society.The study was led by Dr. Kristine Steffen, associate professor of pharmaceutical sciences at North Dakota State University in Fargo. Her team tracked outcomes for more than 2,000 people– nearly 80 percent women– who were surveyed regarding their sex lives for 5 years after they undertook weight-loss(bariatric )surgery.One year after the procedure, individuals generally reported increased libido as well as task, higher contentment with sexual functioning, and also fewer health-related constraints in their sexual activity, the study authors said.The benefit showed up to proceed long-lasting. 5 years after the surgery, all procedures of sexual operating stayed much enhanced as compared to prior to surgery, Steffen’s team reported. At the five-year point, concerning 52 percent of women and also 58 percent of guys stayed moderately-to-very completely satisfied with their sexual function– compared with concerning 31 percent as well as 28 percent, specifically, prior to surgery.Similarly, regarding 39 percent of women and also 55 percent of males claimed they were a lot more sexually energetic after the surgery compared to they had actually been previously, the findings showed.Depression was commonly a key factor, the study authors kept in mind, with both males and females commonly having actually improved sex lives after surgery if they had additionally accomplished improvements in anxiety symptoms.”Restricted study has suggested that bariatric surgical treatment is connected with short-term enhancements in sexual function,”Steffen stated in a meeting news release.

“This study reveals these improvements are resilient.”Professionals note that conclusions offered at medical conferences are commonly taken into consideration preliminary till published in a peer-reviewed journal.– Robert Preidt MedicalNews Copyright © 2015 HealthDay. All civil liberties reserved.SOURCE: Weight problems Week, press release, Nov. 4, 2015

‘Tummy tuck’ complications: Study looks at rates and risk factors

Abdominoplasty– often called “stomach put”– has a higher threat of significant complications than different cosmetic cosmetic surgery treatments, reports a study in the November issue of Plastic and also Plastic surgery ®, the main clinical journal of the American Society of Plastic Surgeons (ASPS).

Issue danger is particularly high for the large proportion of clients going through tummy tuck in combination with other procedures, according to an analysis of nationwide information by Dr. Julian Winocour of Vanderbilt University, Nashville, and classmates. They compose, “Combined procedures could significantly boost difficulty prices and also must be thought about very carefully in higher-risk individuals.”

Database Shows High Threat of Major Issues after Abdominoplasty

The scientists assessed abdominoplasty problem rates as well as danger elements utilizing the nationwide CosmetAssure data source. CosmetAssure is an insurance policy program giving coverage for complications related to cosmetic plastic surgical procedure procedures, which are normally not covered by health and wellness insurance coverage.

The research study consisted of almost 25,000 tummy tucks executed in between 2008 and also 2013, standing for around 14 percent of all procedures in the data source. Abdominoplasty is done to get rid of excess skin as well as tissue from the abdominal area, to create a smoother, stronger stomach profile.

Ninety-seven percent of abdominoplasty patients were females; the ordinary age was 42 years. Sixty-five percent of clients undertook abdominoplasty incorporated with various other plastic surgery procedures.

On the whole, major issues occurred in 4 percent of individuals undergoing abdominoplasty– dramatically greater than the 1.4 percent rate after various other plastic surgery procedures. (The data source really did not include less-serious issues that can be handled in the center). Hematomas (blood collections) were one of the most common major problem, adhered to by infections, blood embolisms (venous thromboembolism), as well as lung-related issues.

Combined treatments were an essential threat aspect for complications. As compared to the 3.1 percent rate with tummy tuck alone, risk raised when abdominoplasty was incorporated with various other procedures: up to 10.4 percent when abdominoplasty was incorporated with physical body contouring plus liposuction surgery. After adjustment for various other aspects, the relative threat of significant complications was 50 percent higher with combined procedures.

Different threat factors for significant difficulties included male sex, age 55 years or older, as well as excessive weight. Risk was reduced when tummy tuck was done in an office-based medical suite, as compared to a health center or medical center. Dr. Winocour comments, “Doctors usually refer patients with major health problems, such as heart condition, to hospitals, which may accountable for this observed trend in issues.”

Diabetes mellitus and smoking– two major surgical risk aspects– were not related to a considerable boost in problems after tummy tuck. “That likely mirrored Board-certified plastic surgeons’ method of not providing tummy tuck to badly managed diabetics and also suggesting stringent smoking cessation for at the very least 4 weeks prior to as well as after surgical procedure,” Dr. Wincour includes.

Tummy tuck is the 6th most typical cosmetic surgical treatment executed in the United States, with greater than 117,000 procedures performed in 2014, according to ASPS data. The variety of tummy tucks has increased in recent times– partly due to the fact that of the enhanced number of people undertaking physical body contouring surgical treatment to eliminate excess skin and also tissue after massive fat burning.

The study includes in previous evidence that abdominoplasty brings a higher problem price than other cosmetic plastic surgery treatments. “Although the overall incidence of significant difficulties is reduced, such problems can leave a potentially terrible cosmetic end result and posture a substantial monetary trouble on the individual as well as cosmetic surgeon,” the scientists create.

They attract unique focus to the danger associated with a number of procedures– particularly because nearly two-thirds of people in the database underwent other aesthetic procedures incorporated with abdominoplasty. Dr. Winocour and classmates recommend that some people at high risk of difficulties may be better off undergoing organized instead than mix treatments.

Secret to Staying Slim May Be as Close as Your Fruit Bowl

Secret to Remaining Slim May Be as Close as Your Fruit Dish

News Picture: Secret to Staying Slim May Be as Close as Your Fruit Bowl

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TUESDAY, Oct. 27, 2015 (HealthDay News)– The food remaining on your kitchen counter supplies ideas about your weight, a brand-new study reveals.Cornell College researchers photographed cooking area counters in greater than 200 American homes and afterwards checked the weight of the ladies residing in those houses.Women that had breakfast grain sitting on the counter considered 20 extra pounds more than women who really did not have grain boxes on display. As well as females in homes with soft drinks resting on the counter evaluated 24 to 26 extra pounds a lot more than those residing in houses without soft beverages on the counter, the investigators located.” It’s your standard’see-food diet regimen’– you consume exactly what you see,”lead author Brian Wansink, teacher and supervisor of Cornell’s Food and Brand Lab, said in an university press release.” As a grain lover, that surprised me. Grain has a health-halo, however if you eat a handful each time you walk by, it’s not visiting make you skinny, “he explained.On the flip side, females who had a stocked fruit bowl on their kitchen counters considered 13 pounds much less than women without the conveniently obtainable fruit.Although this research study located an association in between what got on the counter and also an individual’s weight, it had not been made to verify a cause-and-effect relationship.The research study was published online recently in the journal Health and wellness Education and learning as well as Actions.”We’ve obtained a claiming in our lab: ‘If you intend to be skinny, do just what skinny people do.’If skinny individuals make their homes ‘slim deliberately’by clearing the counters of everything but the fruit bowl, it will not hurt us to do the same, “Wansink stated.

— Robert Preidt MedicalNews Copyright © 2015 HealthDay. All civil liberties reserved.SOURCE: Cornell College, news launch, Oct. 19, 2015