Dr. Madan and His Colleagues Find Encouraging News for Lap Band Patients in a New Study

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A recent study presented at the American College of Cardiology indicates that lap band surgery is truly helpful to patients with weight-related issues. Dr. Atul Madan reviews the study, and finds encouragement for those considering LAP-BAND® surgery.

Dr. Madan MD is a world-renowned expert in laparoscopic and bariatric program. (213) 973-2263

A new NYU study (released on Medscape on March 18, 2013, titled "Gastric Banding Resolves Metabolic Syndrome Long Term") showcased at the American College of Cardiology seems to indicate very positive news for those considering lap band surgery. The study dealt exclusively with patients who had health issues in addition to a body weight between 30 to 40 BMI. After a five-year period, the health issues, or “obesity-related comorbidity” problems, truly were removed or reduced. Bariatric surgeon Dr. Madan says that this is good news for those considering the long-term positive effects of lap band surgery.

It is also true, says Dr. Madan, that the study was small, with only 50 patients included. If the study were alone in its findings, that might be a cause for alarm, but many studies have indicated that a variety of weight loss surgeries are helpful in reducing or eliminating certain co-morbidities, such as diabetes and certain cardiovascular issues.

In fact, some weight loss surgeries, such as gastric bypass and the newly introduced sleeve gastrectomy, have gotten press coverage on the procedures' speed at dealing with diabetes. In November 2012, Science Daily ran a report on a University of Massachusetts study, stating that these two bariatric methods were the best at dealing swiftly with both diabetes and weight loss.

Although Dr. Madan agrees that bariatric surgery in general does deal with diabetes, he says that the NYU study shows quite similar results with lap band, one year after the surgery. The University of Massachusetts study showed that two-thirds of gastric bypass patients didn't need help with diabetes medication a year after surgery. The NYU study showed that patients with “metabolic syndrome”, or a host of obesity-related issues, resolved their issues within a year of their lap band surgery, all except for “a handful” that continued to have issues for the next few years. This may put a hole in the argument that gastric bypass is a better bariatric procedure, because of the metabolism change that comes with re-routing the intestinal tract.

The NYU study dealt more with metabolic syndrome issues than diabetes exclusively, but the results were still positive. Cholesterol and triglyceride levels were consistently decreased, as well as overall BMI, and blood glucose levels. Dr. Madan says that lap band surgery is often no just about weight loss, but about improving health overall. However, he does completely agree with one of the Science Daily quotes from Dr. Vadim Sherman of the Houston Methodist Hospital: “Surgery alone is not the answer. Patients also need to make lifestyle changes in order for any weight loss surgery to work long term.” Dr. Madan also notes that Dr. Sherman's assessment of lap band surgery being a malleable option for patients: “Lap band and stomach stapling surgeries can be revised into one of these other two procedures [gastric bypass and sleeve gastrectomy]”.

Dr. Madan has written 175 articles, and was the first in Memphis to perform a laparoscopic gastric bypass. To date, he has performed over, and was first to offer an incision-less treatment for post-operative weight gain. As the former Chief of Laparoendoscopic and Bariatric Surgery Division at the University of Miami, Dr. Atul Madan may well be considered an expert in his field. Dr. Madan won the 2007 SAGES Young Investigator Award, was honored by the American Medical Association Physican's Recognition Award, among others. Dr. Madan's patient reviews are consistently high, and he received the 2011 and 2012 Patients' Choice Award.

For more information on Dr. Atul Madan or the LAP-BAND procedure, call 1-800-472-4900, or review more on Dr. Madan on http://dr-madan.com/

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