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Re: Gastic Bypass / Lap Band Surgery?


Posted by seattlebill on June 06, 2006 at 16:36:22:

In Reply to: Gastic Bypass / Lap Band Surgery? posted by Thunder Bay on June 05, 2006 at 20:24:28:

Wow, it's weird to be here from the "otherside"...I feel like I need a seance.

As others will state, diet, exercise, and drugs are probably 1st and 2nd line methods to lose weight. Surgery would be the last.

Gastric bypass...while it will work, does carry a very high complication and mortality rate. Even more so than is commonly estimated. The newer lap banding technique is far less risky. However, it does have substantially more risk than diet and exercise. It is still a surgical procedure, and unexpected and untoward things can and do happen.

On the positive side, lap bands are also reversible...if that is desired...at another surgery, the band can either be removed or released slightly.

Yes, losing substantial amounts of weight may ultimately improve...but not necessarily cure...your OSA. Even if doesn't cure your OSA, there will be benefits to other aspects of your health by losing that much weight. The only two surgical procedures that have numbers good enough to claim an OSA "cure" are a tracheotomy and the MMA/GA (95% in published studies). Nothing has been published yet about bariatric procedures like gastric bypass and lap banding and OSA outcomes.

It may help...it might not...and it will add risk for uncertain benefit.

Bill

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