 |
|
|
|
|
June 19th, 2009
01:43 PM ET
Could a stapler down your throat fight fat?By Matt Sloane When I first heard about the TOGA procedure, I have to be honest, I was a little shocked! TOGA, which stands for transoral gastroplasty, involves doctors putting a garden hose-sized tube down your throat, passing a camera and a staple gun through the tube, and stapling your stomach from the inside. Pretty cool, eh? It's the latest procedure in "natural orifice surgery," an innovative and attention-getting area of medicine. Gallbladder removal through the vagina, brain surgery through the nose, and now stomach stapling through the mouth – the very orifice where most obesity begins. The procedure – if approved – could help take the place of laparoscopic obesity surgery, which comes with scars, and several days of recovery. Lose weight, no scars, very little recovery time, and the only complaint most people had in the clinical trials was a bad sore throat? Sounds great, but not so fast, says Dr. John F. Sweeney of the Emory University Center for Bariatric Medicine. "This is really innovative, and it's pushing the envelope on what we're doing endoscopically," said Sweeney, "But stomach stapling really doesn't work long term." Lets take a step back. There are two types of obesity surgery. Restrictive operations make a pouch or sleeve inside the stomach, thus making it harder for food to pass, and creating a feeling of satiety, or being full. Malabsorptive operations actually re-route the gastrointestinal anatomy, so that there is less stomach surface area to absorb the nutrients you normally take in with food, thus causing you to lose weight. TOGA, as well as procedures like the LapBand are restrictive surgeries, and although they can be very successful at first, the long-term success rate is not stellar. "Folks often aren't compliant with their diet," said Sweeney, "Sweet eaters easily defeat restrictive operations, other folks overeat and disrupt the staple lines." And according to a 2002 study in the journal Surgery, Body Mass Index (BMI) for patients that had undergone gastric banding operations declined for the first three years after surgery, but then began to climb – almost to pre-surgery levels in the years following. So just who would be the right candidate for this procedure? "The whole point of this operation is to make a pouch where large food will get stuck," said Dr. Edward Phillips, chairman of surgery at Cedars Sinai Medical Center in Los Angeles. "So, if you're a meat-and-potatoes kind of eater, you will probably do pretty well with this type of procedure." But having done dozens of TOGA procedures himself, Phillips says, "liquid calorie eaters" tend not to lose as much weight. "If you eat alot of ice cream or liquid calories, those kinds of things are going to pass right through the sleeve very easily." Overall, in the first phases of clinical trials, the TOGA has resulted in an average of a 45 percent weight loss after one year. How it does after two, three or even five years? That's the big question that will determine how revolutionary the TOGA really is, and we may not get the full story for another year or two. When the procedure becomes available, would you have the TOGA procedure done to lose weight? Editor’s Note: Medical news is a popular but sensitive subject rooted in science. We receive many comments on this blog each day; not all are posted. Our hope is that much will be learned from the sharing of useful information and personal experiences based on the medical and health topics of the blog. We encourage you to focus your comments on those medical and health topics and we appreciate your input. Thank you for your participation. soundoff (885 Responses)« Previous 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 Next »Post a comment
Next entry »Is it safe to take Tylenol after drinking?
« Previous entryIs radiation causing prematurely gray hair?
|
  About this blog
Get a behind-the-scenes look at the latest stories from CNN Chief Medical Correspondent, Dr. Sanjay Gupta, Senior Medical Correspondent Elizabeth Cohen and the CNN Medical Unit producers. They'll share news and views on health and medical trends - info that will help you take better care of yourself and the people you love.
 |
|
|
|
http://www.webexhibits.org/cs.html?url=https://internetmarketingidaho.com
I really like it when individuals come together and share thoughts. Great site, keep it up!
https://www.info-az.net/search/rank.cgi?mode=link&id=675&url=https://www.postfallslocal.com/
http://sinpad.indeci.gob.pe/PortalSINPAD/ExternalPage.aspx?url=http://affordableranking.com/
I’m amazed, I have to admit. Seldom do I encounter a blog that’s equally educative and entertaining, and let me tell you, you have hit the nail on the head. The problem is something that not enough people are speaking intelligently about. I am very happy that I stumbled across this during my hunt for something regarding this.
http://www.adventuresonly.com/redirecthandler.ashx?url=https://developingprospects.com/
https://adventuresonly.com/redirecthandler.ashx?url=https://masternearme.com/
priligy uk price dapoxetine
Right here is the perfect site for everyone who wishes to understand this topic. You understand so much its almost hard to argue with you (not that I actually would want to…HaHa). You definitely put a brand new spin on a topic that has been discussed for a long time. Excellent stuff, just excellent!
https://coyoacan.cdmx.gob.mx/link?ruta=http://nearmyspot.com/
http://1000love.net/lovelove/link.php?url=internetmarketingsupply.com/
http://b.sm.su/click.php?bannerid=56&zoneid=10&source=&dest=http://bestlocalnearme.com
https://login-tk.ewe.de/module.php/core/loginuserpass.php?AuthState=_f129e4d348645839698b4d7d776dd3affbd987fedc:https://ocrvcenter.com/fire-truck-repair-near-me/
Good site you've got here.. It’s difficult to find high quality writing like yours nowadays. I seriously appreciate people like you! Take care!!
http://sc.sie.gov.hk/TuniS/www.ocrvcenter.com/rv-repair-shop-coronado-california/
https://www.theweddingsecret.co.uk/BusinessClickthroughs/add?website=http://ocrvcenter.com/rv-repair-shop-lomita-california&id=1070977&business_id=2069
viagra and nitroglycerin http://loxviagra.com/ viagra single packs price
I used to be able to find good information from your blog articles.
http://openforbusinessmagazine01.businesscatalyst.com/Redirect.aspx?destination=https://ocrvluxurycoaches.com/rv-repair-shop-murrieta-california
Your style is really unique compared to other folks I have read stuff from. Many thanks for posting when you have the opportunity, Guess I'll just book mark this site.
https://www.triathlon.org/?URL=www.ocrv.fun/rv-repair-shop-glendale-california
online pharmacy birth control pills Antabuse best rx pharmacy online
I used to be able to find good advice from your content.
https://home.guanzhuang.org/link.php?url=https://ocrvcenter.com/motorhome-plumbing-repair-near-me/
http://www.foodprotection.org/a/partners/link/?id=79&url=https://ocrvcenter.com/rv-repair-shop-la-tuna-canyon-california
Great blog you have got here.. It’s hard to find good quality writing like yours nowadays. I really appreciate individuals like you! Take care!!
&rewrite_flg=1
https://scripts.affiliatefuture.com/AFClick.asp?affiliateID=1567&merchantID=617&programmeID=2028&mediaID=0&tracking=&url=https://ocrvcenter.com/rv-repair-shop-la-canada-flintridge-california
I'd like to thank you for the efforts you have put in writing this site. I'm hoping to see the same high-grade blog posts from you in the future as well. In fact, your creative writing abilities has encouraged me to get my very own website now 😉
http://sso.aoa.org/Authenticate.aspx?Return=http://sprintervanrepairshop.com/box-truck-restoration-shop-near-me/
https://sso.esolutionsgroup.ca/default.aspx?SSO_redirect=https://ocrv.fun/rv-repair-shop-vista-california
I blog often and I really appreciate your information. Your article has really peaked my interest. I will book mark your site and keep checking for new information about once per week. I subscribed to your Feed as well.
https://www.sunzu.com/link/?url=ocrvcenter.biz/rv-repair-shop-lancaster-california
http://www.etracker.de/lnkcnt.php?et=qPKGYV&url=https://ocrv.guru/rv-couch-repair-near-me
http://fourfact.se/index.php?URL=http://affordableranking.com
http://www.koromo.co.jp/files/rank.cgi?mode=link&id=1260&url=http://www.northbedfordbaptist.org/2020/03/20/encouragement/
http://www.sofel-sts.be/public/index.asp?url=http://affordableranking.com
https://www.aidenpan.com/home/link.php?url=https://ocrvcenter.com/rv-countertop-repair-near-me/
The very next time I read a blog, I hope that it won't fail me as much as this particular one. I mean, I know it was my choice to read through, nonetheless I actually thought you would have something useful to talk about. All I hear is a bunch of whining about something that you could fix if you were not too busy looking for attention.
https://www.mugen.matrix.jp/cgi-bin/gate/rank.cgi?mode=link&id=97&url=https://ocrvcenter.com/rv-repair-shop-hawaiian-gardens-california
Good blog you have here.. It’s hard to find good quality writing like yours nowadays. I honestly appreciate individuals like you! Take care!!
http://adbor-piccolino.atspace.eu/redirect.php?url=https://ocrvcenter.com/rv-shower-repair-near-me
I could not resist commenting. Perfectly written!
http://southampton.ac.uk/~drn1e09/foaf/visualizer.php?url=https://ocrvcenter.com/peterbuilt-collision-repair-shop-near-me
https://aslplayerservices.org/__media__/js/netsoltrademark.php?d=ks1.es/sascha/index.php/gaestebuch?t=0&start=11260
ebay cialis https://rcialisgl.com/ cialis 40 mg
/
Good day! I could have sworn I’ve visited this blog before but after going through some of the posts I realized it’s new to me. Anyways, I’m certainly pleased I found it and I’ll be book-marking it and checking back frequently!
http://53938.measurementapi.com/serve?action=click&publisher_id=53938&site_id=92394&sub_campaign=g5e_com&url=http://ocrvcenter.co/rv-repair-shop-panorama-city-california
http://iacconline.org/Redirect.aspx?destination=http://wqf.me/برنامج-الباØØ«-ÙÙŠ-المخطوطات-الاسلامية/
https://sso.esolutionsgroup.ca/default.aspx?SSO_redirect=https://ocrvcenter.com/workstar-collision-repair-shop-near-me/
https://www.tratoresecolheitadeiras.com.br/redirect.aspx?id=17816&url=https://adult.uk.com/annuaire/goto.php?id=30176
http://sogo.i2i.jp/link_go.php?url=https://ocrvcenter.com/rv-repair-shop-menifee-california
http://koromo.co.jp/files/rank.cgi?mode=link&id=1260&url=http://ocrvcenter.com/rv-repair-shop-los-angeles-california
You are so cool! I don't suppose I've read through a single thing like this before. So wonderful to discover another person with a few unique thoughts on this issue. Seriously.. thank you for starting this up. This web site is one thing that's needed on the internet, someone with some originality!
https://www.searchpoint.net/redir.asp?reg_id=pTypes&sname=/search.asp&lid=0&sponsor=INC&url=http://ocrvshop.com/rv-repair-shop-redlands-california
I absolutely love your site.. Great colors & theme. Did you build this site yourself? Please reply back as I’m planning to create my own personal website and would like to learn where you got this from or just what the theme is named. Many thanks!
https://www.feedroll.com/rssviewer/feed2js.php?src=http://ocrvcenter.co/rv-repair-shop-costa-mesa-california
cialis side effects women https://ucialisdas.com/ canadian pharmacy cialis no prescription
Etodolac indian pharmacy paypal canadian pharmacy meds
http://alga-dom.com/scripts/banner.php?id=407&type=top&url=http://www.affordableranking.com
I really like it whenever people come together and share views. Great blog, continue the good work!
http://www.serbiancafe.com/lat/diskusije/new/redirect.php?url=https://www.ocrvcenter.com/rv-repair-shop-la-palma-california
There is definately a great deal to find out about this issue. I love all of the points you made.
https://www.shop-bell.com/out.php?id=kibocase&category=ladies&url=https://hotnewsindia.com/sirsa-police-1-lakh/
tadalafil goodrx tadalafil cost in canada generic cialis online fast shipping tadalafil liquid https://tadalafilol.com/ – tadalafil online
opiniones viagra mapuche http://llviagra.com/ viagra chile sin receta
super viagra http://loxviagra.com/ – female viagra over the counter viagra side effects blood pressure