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Question re stomach stapling etc. (NOT looking for medical advice)

  • 04-06-2012 2:15pm
    #1
    spurious
    Moderators, Category Moderators, Education Moderators Posts: 27,316 CMod ✭✭✭✭


    I recently watched one of these programmes where it said the man's stomach following the operation was now the size of IIRC a thumb.

    I understand how this would make him lose weight, but once he reaches target weight, how does he not continue to lose weight if his stomach is only that size?

    Such things keep me awake at night.


Comments

  • #2
    El_Dangeroso
    Users Awaiting Email Confirmation Posts: 5,620 ✭✭✭El_Dangeroso


    Most bariatric surgery patients don't reach a normal weight if they start off severely obese. The reduced stomach size still allows through enough calories, and then you can pack in a lot of calories eating very dense calorie foods little and often.

    There are tales of people who find out they can eat a lot of ice cream and as a result never get get near a normal weight.

    Generally the data coming out on trials of gastric banding shows shocking rates of weight re-gain over 10 years.

    The most effective by a mile is gastric bypass and even then that has regainers after the 10 year mark.

    A really interesting theory of why some GBP surgery are more effective than others is that some techniques require the removal of the ileum, which may be responsible for sensing the nutrients in food and thus how valuable food is in terms of caloric density. (This is why people will overeat stale tasting popcorn - the calories are still there so the brain says go back for more even if the tongue is less than impressed)

    It is theorised that removal of the ileum eliminates the signals via gut peptides and local nerve terminals to tell the brain 'this is good, eat more.' and thereby suppress appetite causing the long term weight loss that is lacking from other methods of reducing stomach size, such as gastric banding.

    All theory right now but very interesting nonetheless!


  • #3
    Delancey
    Closed Accounts Posts: 5,451 ✭✭✭Delancey


    There was a former New Zealand Prime Minister called David Lange who was a talented amateur racing driver and also seriously obese , as a result of his obesity he lost his racing licence and after this he decided to get his stomach stapled.
    Initial results were very impressive but over the years he re-gained a lot of the weight he had lost and ultimately died at a relatively young age from cancer and complications associated with obesity - I think he had a leg amputated due to diabetes for example.

    His was a good example of the ultimate failure of stomach stapling.


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