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Obesity crisis: is surgery the solution?

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Controversial surgery for treating obesity should be more widely available on the NHS, researchers claim. They say a lack of resources and prejudice from some doctors is preventing many morbidly obese patients from receiving a life-saving surgery that involves reducing the patient's stomach to the size of a thumb.

Dr Carel Le Roux at Imperial College London and his colleague Dr Rachel Batterham are calling for 10 times the number of operations currently performed. At present around 6,000 people receive the surgery each year but guidelines from the National Institute of Clinical Excellence say the number should be 60,000.

Currently only patients with a BMI of 35 or over are eligible, but the scientists say more research is needed to work out whether this criterion should be extended. A BMI of 25 or higher is considered overweight. Thirty or more is obese.

Around two-thirds of the UK population is overweight or obese. "What we need to know is which patients would benefit from this operation and I think that evidence is lacking," Le Roux told the British Association festival.

In the long term Le Roux and Batterham hope to recreate the changes brought about by surgery by using drugs, but in the meantime they say the £9,000 operation can make a huge difference to patients. "The holy grail of understanding how this works is that it will potentially lead to a cure for obesity and type two diabetes," said Batterham, who works at the centre for diabetes and endocrinology at University College London.
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13 responses // Obesity crisis: is surgery the solution?

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    They might not have to perform many of these surgeries in the future if the anti-fat jab that scientists are working on is a success. According to a report out today, they believe the injection that controls hormone levels to basically stop patients feeling hungry. They actually made their breakthrough by studying what happens to the body and hormone levels in the guy after gastric band surgery. They are developing a drug that recreates the effect of lowered levels of hormones related to glucose regulation.

    abbym0308
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    Surely what needs to be addressed on a national scale is how people's lifestyles have changed over the last several decades, and how that affects eating and exercise?

    Employers should make time and resources available for people to exercise during working hours (as most of us sit on our arses all day and drive to work), kids should be taught how to make really easy and quick and healthy foods at school, and supermarkets and restaurants should reduce portion sizes. Operating on people to shrink their stomachs once they reach a dangerous weight is treating the effects of our changed eating and exercise culture, not the cause.

    LindseyIndigo
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    two-thirds of us are now overweight or obese?? bloody hell...

    though I really don't know if surgery should be given as an easy option - so much of our society is about quick fixes, magical slimming pills, fad miracle diets. More focus needs to be put on proper education - not just about what's healthy but how to cook it, as well as supermarkets offering healthy foods as cheaply as treats and sweets.

    purplefox
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    People's fat actually has stem cells in it, so maybe it is...

    CreditFigaro
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    The next time you're in a grocery store keep an eye out for someone who is slim and fit...then take a look at the foods they've put in their cart. We all know what will be there. And yet the majority of us choose not to eat those foods. It's simple nutrition. People don't seem to have the desire to care for themselves properly. We live in a nation that fights against us...they do not want us to be healthy. They'd lose a whole lot of green backs.

    It's an up hill battle but sugery isn't the answer.

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    Surgery isn't solution... just some sort of predator to humans. Actually I wonder if natural selection will phase out skinny people (i mean sure fat people may die a few years earlier but not before they can pop a few kids out right?) because there are cases where people are so fat that stab wounds dont impact their vital organs and are thus saved by their fat. Maybe we we evolve into fat blobs that consume everything under the sun we'll develop larger bones and muscles specialized in moving our weight around.

    Personally I don't eat right but exercising like a mad man keeps me fit and trim.

    satanskidney
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    There is no obesity crisis...

    Owwmykneecap
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    no obesity crisis? so you live in the south? just a guess cause obesity is less of a problem in that part of the country. i think if there is one fat chick that would look hot skinny, well thats a problem. but it really goes way beyond that, its really a lack of education problem. just like aids, teen pregnancy, alot of things can be averted if we are better informed.

    globewatcher
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    I live in Ireland and I just don't believe in what I read from what i see.

    Sure there are obese people, no doubt, but there really arent that many.
    Only once in my life have i seen one of those people too fat to walk, on a little scooter. and she had an american accent.

    You hear stories of 48 waist primary school uniforms.
    But come on they're completely freak cases. There are obese kids, and they need help, but I just don't see the amount needed for a crisis.

    Owwmykneecap
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    There is no magick pill or surgery for obesity. Stop eating foods that create more acidity in the body than your body can clean out! Familiarize yourself with getting your body's ph in balance. Alkalinize your bodies! It will take longer than surgery but will last longer than surgery too.

    intuvision

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