Endoscopic sleeve gastroplasty showed the fewest complications and shortest hospital stays in a comparison with laparoscopic adjustable gastric banding and laparoscopic sleeve gastrectomy, according to a retrospective study presented at the 2017 Digestive Disease Week conference. "These results support the conclusion that the less invasive option, ESG, is a safe and effective treatment, especially for patients for whom surgical options were not possible," said Dr. Reem Sharaiha, who presented the research.
A Meddevicetracker report predicts the worldwide market for minimally invasive weight-loss devices will reach $290 million by 2021 with a 16% compound annual growth rate because of the increasing global obesity epidemic. The largest growth will come from the second-largest segment, intragastric balloons, which is expected to reach $263.9 million by 2021, while the largest segment, laparoscopic adjustable gastric banding, is predicted to decline from $72.3 million last year to $24.7 million by 2021.
The Johnson & Johnson Health Partner platform has been launched by Johnson & Johnson for use in providing patients with personal motivation to help them prepare for and recover from hip, knee and weight-loss surgeries. The platform comes with a mobile app for patients, an education and resource-based website, and a care portal for health care providers.
Patients with excess belly fat had a greater risk of complications and death following emergency surgery than thinner patients, according to a study presented at the American College of Surgeons' annual meeting. Lead author Dr. Faisal Jehan said using waist-to-hip ratio can predict which patients are at high risk and may need early postoperative examinations so they can quickly be moved to the ICU if complications develop.
Severely obese adolescents should have nutrition and behavioral counseling and medication options, along with a referral to a bariatric surgery program, before their BMI reaches 50 kg/m2, Dr. Janey Pratt of Stanford University said during an ObesityWeek 2017 presentation. Pratt said severely obese children are unlikely to achieve long-term weight loss with lifestyle changes and medication alone, and new recommendations are expected within a year on thresholds for pediatric weight-loss surgery.
Resistance training plus dieting was better than walking plus dieting or dieting alone for helping older adults lose fat and maintain lean muscle mass, according to a study in the journal Obesity. Registered dietitian Stephanie Schiff said dieting alone can contribute to loss of muscle mass and strength, ultimately leading to a drop in metabolism as well.
Research presented at ObesityWeek showed restricting food consumption to an eight-hour window each day led to a 2.6% reduction in body weight and a 1-point drop in body mass index over three months for obese adults, compared with no changes seen in the control group. The time-restricted diet did not reduce the risk of metabolic disease.
EnteroMedics has changed its name to ReShape Lifesciences after its $38 million acquisition of ReShape Medical earlier this month. The rebranding is intended to reflect EnteroMedics' growth into being a provider of medical devices associated with the management and treatment of obesity and related conditions.
Implementation of data analytics, which can be important to improving the availability and affordability of health care, has been slower in the US than in other countries, experts told the US News Healthcare of Tomorrow conference. Providers need to do a better job collecting data, and accurate data are needed in a timely fashion to allow private payers to make decisions, experts said.
Despite widespread uncertainty about the status of the Affordable Care Act, open enrollment was off to a relatively smooth start Wednesday, even as President Donald Trump mused on Twitter about the possibility of repealing the mandate to purchase coverage as part of tax reform. The administration's reduced emphasis on outreach was evident, with millions fewer Americans receiving notices reminding them to sign up and a shift away from some of the more effective messaging.