Dr. Atul Madan Reviews Reports on EndoBarrier® As A New Weight Loss Method and Compares to Lap Band Surgery

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A new method of weight loss has come out and started to make waves – EndoBarrier®. Dr. Atul Madan reviews current information, and continues to recommend LAP-BAND® as a viable weight loss method.

The Weight is Over. Choose LapBand®

A new weight loss method, EndoBarrier®, is making the news in the United States, though clearance hasn't yet been given to market it. EndoBarrier has been allowed within the United States for use in investigations, and a current 500-person trial by GI Dynamics may open up access to the American market by 2017. Bariatric surgeon Dr. Madan analyzes current reports on the new method, and continues to recommend lap band surgery as a proven weight loss method.

According to the Wall Street Journal, EndoBarrier has been allowed access to sales and marketing within countries such as Australia, Chile, and Israel, and some within the European Union. GI Dynamics, a company out of Massachusetts, has developed the product and is conducting clinical trials so that EndoBarrier can be used within the US market. Essentially, the device is a long tube that lines the early part of the intestine, so that the full value of food intake passes through without being absorbed. The entire tube is placed into the body by way of the patient's mouth, which eliminates the need for any incisions – even laparoscopic ones.

A report on BioMedCentral says that EndoBarrier has seen some initial good results, being “associated with a mean weight loss of 10% to 20%”. Apparently, early three-month results are better than those found with the traditional methods of diet and exercise. The company hopes to showcase it as a means of dealing with type 2 diabetes, and as a means of instigating weight loss. Many studies have indicated a link between gastric bypass and a swift reduction in type 2 diabetes, because of reduced nutrient absorption in the intestine, and the hope is that a liner can reduce both the cost and permanency of the gastric bypass surgery.

Although the company website says that early complications are being worked out, such as sleeve migration and internal obstructions, BioMedCentral points out that the percentage of 15% to 20% is significant. The company website also says that “common complaints” included nausea, vomiting, and abdominal pain. Perhaps the 500-patient study will show more clarity on these issues, and better results than the currently known 13% insertion failure rate.

Dr. Madan says that these initial results do not invalidate the possible effectiveness of this new method, since early results of lap band surgery showed similar issues. These may be worked out in time. However, he cautions patients to become excited about the device until more is known. EndoBarrier still has to go through rigorous testing before acceptance, in case there may be longer-term side effects that aren't immediately apparent, or in case the “occasional irritation and bleeding from barbs” (per the Wall Street Journal) that keep the device stable are more common than occasional.

Meanwhile, says Dr. Madan, there are still good reports on the effectiveness of lap band surgery. The same BioMedCentral article stated that although gastric bypass showed more initial weight loss, gastric banding showed very similar results when good post-operative care was used. Also, studies such as those posted in Obesity Surgery in 2005, showed lap band surgery to be the least invasive of approved laparoscopic surgeries, and quite “safe in super-obese patients”.

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://www.obesityhelp.com/profiles/bariatric-surgeon/dr-atul-madan/.

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