I saw this and thought i would write: Television presenter Fern Britton has caused controversy after it was revealed that her recent weight loss followed a "gastric band" operation, and was not simply down to dieting and exercise. But how does a gastric band work, who should receive them, and is there still a stigma attached? For some obese people, attempts at conventional dieting and exercise will fail, and their weight means a far higher risk of health problems later in life. It is at this point that their doctor may suggest gastric banding. The principle is a simple one. Most people eat when they feel hungry, and when their stomachs are full, they stop. GASTRIC BAND A fluid-filled balloon is clipped around the upper end of the stomach with a band This restricts the flow of food into the lower stomach, making the patient feel full sooner The band can be adjusted via the reservoir which is sited beneath the skin The operation leaves a silicone loop tightened about three-quarters of the way up the stomach, creating a much smaller space at the top, with a tiny gap leading to the rest of the stomach. Much less food is needed to fill up this little "pouch" at the top, at which point the person feels full. The "pouch" then slowly empties through the gap into the rest of the stomach, and appetite returns. Dr Ian Campbell, Medical Director of the charity Weight Concern, said: "If you reduce the volume of food you can comfortably put in your stomach, you'll eat less." The NHS does offer gastric banding, but many people choose to have the operation privately, at a cost of around £7,000. On average, people will lose up to 50% of their excess weight in the two years after they have one, almost immediately cutting the risk of diabetes, heart disease or high blood pressure. But it is not recommended to all obese people - guidelines from the National Institute of Clinical Excellence say that it should be considered only after other, non-surgical solutions, have been fully exhausted, and patients need to be free of psychological problems, and receive the correct advice and counselling. New lifestyle The reason it is not recommended to all overweight people are the small, but significant risks of having a band, which are normally balanced against the health risks of obesity. BBC Breakfast discussion on the issue of gastric bands Although the band is normally placed using "keyhole" surgery, having a general anaesthetic still carries a risk, especially to an obese patient. There is also the chance of infection, or a problem with the band, such as leakage, which will require a second operation to correct. Dr Campbell insists it is no easy option. Patients will need to change what they eat - the new stomach shape may not cope well with food which comes in large chunks, causing vomiting, and lavish dinner parties may be a thing of the past. "You need to break off your love affair with food. You simply can't sit down to a three course meal with your friends any more." Despite that, the stigma remains, despite the fact that thousands of gastric banding operations are carried out each year in the UK. Fern Britton chose to keep her operation private, and was criticised for doing so by newspaper columnist Carole Malone. I'm of the opinion that no-one should need that drastic an intervention Dr Funke Baffour Psychologist "She is a public persona, but she is making money out of her weight. She also has made a career out of being a trustworthy person - a person that people look up to. "She shares lots of parts of her life with the viewing public, and she gets paid an awful lot of money for that. She has made a little bit of a career out of dieting." Psychological need Some psychologists are also not convinced that the rising numbers of operations is a good thing. Dr Funke Baffour, who specialises in the psychology of weight management, suggested that would-be patients should first be dealing with the underlying emotional issues which helped cause the weight gain. "People aren't using their willpower, they're looking for a quick fix, but this will not resolve the psychological problems they may have. "I'm of the opinion that no-one should need that drastic an intervention. "I have had patients who are thinking about it, tell me they have done everything they can to lose weight, but, after discussing it, they haven't." Dr Campbell, however, is adamant that the public perception of weight loss surgery is a false one. He said: "It's seen as a cop-out, a cowardly way of dealing with it. "But what we have here is a perfect example, someone who is an intelligent, very able person, who has tried everything, over many years, without success. "The forces that make her overweight cannot be overcome just by willpower." ---------------------- there are so many people saying that she should have told the public, and people are angry, but seriously why should she share somthing has private has that with us? do we call her everytime we do somthing new? http://news.bbc.co.uk/1/hi/health/7432878.stm yeah sure some people over come weight issues by dieting, some can't do that, why do we need to know?
I recently had a discussion with a doctor about this and he said that even after any form of operation regarding shrinking of the stomach operation people still gained weight after they first lost allot. So it really comes down to the person that gets it done. If they want to reduce or keep weight off they can themselves with or without the surgery.
yes i would, but its not a easy fix, like you know you wont loose the weight over night, but i would have to sit down seriously and talk about it with my family. but i still belive that dieting is the best way, but like i said some people find it very difficult to stick to a diet
I can understand people doing it, but I think its lazy. I would never do it. Surgery has a risk of death. By changing your diet and excercising you can lose the weight without the risk of death.
I think the people who get the surgery are in a spot that makes even that difficult. At 300 (or more) pounds, more traditional exercise is tough because the knees start to become a problem and there is no exercise equipment that can take the strain. Even medical scanners, like full body MRI machines typically have a 300 pound weight limit. Diet you can change, in theory, but the body has mechanisms to stave off weight loss, and mechanisms to regain the weight even if you do succeed. Couple that with what is clearly an unfortunately flawed desire to eat. We all have that desire...and for most of us it is active only at appropriate levels. Having been very hungry at times in my life, I can see why that impulse, when it's misfiring or not, is a difficult one to ignore as a simple exercise of "willpower."
i know as a kid, if i didn't have such a good metabolism, i would definitely be overweight. not being hungry was a sensation i first experienced when about 17, i'm not exaggerating at all. whenever there was food, i was eating it, unless i was distracted or busy doing something else. point is dealing with that kind of hunger now would be almost impossible for me, and maybe that's what some people are faced with.
Have you ever seen Biggest Loser? Lots of those people are 300 lbs+. They take it off with supervised exercise and diet. Most people that can't tolerate exercise, can't tolerate surgery.
