December 3rd, 2010
07:14 PM ET

Lap-Band for lower BMI safe, FDA panel says

A Food and Drug Administration advisory committee on Friday
voted that the new proposed Body Mass Index requirements for Lap-Band weight
loss surgery are safe, effective, and that benefits associated with the surgery
outweigh the risks.
Now the FDA must make a final decision on whether to approve the medical
device for patients with lower BMIs than previously allowed.
Eight of the ten members of the Gastroenterology and Urology Devices
Panel cast votes saying that lowering the BMI requirement from 35 to 30 for
people with weight-related health issues would be a safe and effective means of
losing weight.
Under the new proposed guidelines, a person who is five feet, eight
inches tall would have to weigh at least 197 pounds, not 230, as was previously
the case.
"Overweight people who have a BMI of 30 to 35 have a significant burden
of medical problems associated with their obesity," says Dr. Robin Blackstone,
President-elect of the American Society of Metabolic and Bariatric Surgery. "We
really support making the band available to folks who need that kind of help."
The FDA meeting was held at the request of Allergan, Inc., the
manufacturer of the Lap-Band device. Allergan also conducted the study
presented to the advisory committee.
The panel heard from a variety of speakers, including Stephanie
Quatinetz, whose daughter Rebecca died two months after getting a Lap-Band.
Quatinetz argued that lowered BMI requirements would allow people who were not
obese enough to get the device, causing health complications that could be
Laparoscopic Adjustable Gatric Banding, or LAGB, is the second most
common type of bariatric surgery. It's a less invasive operation compared to
gastric bypass, the most common procedure. If the proposed BMI guidelines are
approved, Allergan says more than thirty million Americans would have BMIs
within the newly eligible range. Yet the American Society of Metabolic and
Bariatric Surgery says only a fraction of overweight people actually opt for
weight loss surgery.
Dr. Karen L. Woods chaired the panel meeting. Dr. Woods is a stockholder
in Allergan, Inc. but was granted a waiver by the FDA. She did not cast a vote
on the new guidelines. In a statement regarding her waiver the FDA said, "Dr.
Woods was selected because she has expertise in therapeutic endoscopy, which is
important for the deliberations of the panel, and has experience serving as a

Next entry »
soundoff (155 Responses)
  1. LS

    The real question with Lap-Band and Gastric bypass is whether it WORKS in the LONG TERM, even many celebrities regain the weight several years after they initially lost weight after weight loss surgery. If celebrities can't even do it, then I wonder what the long-term results are for the normal population. If the these surgeries don't produce long term, sustainable weight loss, then I don't see how the risk of surgery outweighs the long term benefit.

    In terms of the arguments that overweight people just need to eat less and exercise more, it's not that simple. Take 2 young ladies who both eat a balanced 2500 calorie diet. One women has a naturally fast metabolism, fidgets a lot, but is otherwise sedentary. The second women eats the same amount of calories and even walks briskly for 60 minutes each day, but her metabolism is naturally slower and she does not fidget a lot, so she continuously gains a few pounds a month and can't seem to lose it. A third young women, might eat only 1500 calories a day, exercise regularly, but has to be on an atypical antipsychotic and an SSRI that caused her to gain 50lbs and makes it virtually impossible for her to lose the excess weight.
    See how it's not that simple folks??? There are many genetic and environmental factors involved, some of which are controllable some of which are not.

    For example, I'm in a women my 20's. I exercise about 10 hours a week. My exercise regime includes lap swimming, exercise classes, weight lifting, ab exercises, running, and hiking, kayaking or other outdoors activities when weather and time permits. I also try to walk as much as possible, which is in addition to the 8-12 hours a week I spend formally exercising. I also count calories almost everyday and try to eat a protein and fiber rich diet under 2300 calories a day (can't easily go under that, I have a really bad sweet tooth and all that exercise makes me hungry). I drink a lot of water too. Weight-wise I'm "obese," and it's very difficult and slow for me to lose weight. If I "fall off the wagon" for a even few days, I'll gain weight. No medical conditions have been uncovered that would explain why despite large calorie deficits per day, I can't lose significant amounts of weight, but I assume it's mostly genetic as many members of my family exercise a lot and eat healthy foods but are still significantly overweight.

    So it's not just as simple as walking briskly 30-60 minutes a day and cutting out dessert. Your body doesn't like to lose weight, so it ADJUSTs. Exercise you do regularly burns less calories and your metabolism slows down if you drastically reduce your caloric intake. Overtime, even lab rats gain the weight back because your body tries to maintain a certain weight.

    I hope that helps.

    December 13, 2010 at 21:29 | Report abuse | Reply
  2. ana

    Ok, here's one more comment to all those people with the "eat less, move more" mantra. It doesn't always work!! I'm sorry, but we have ruined our metabolisms. I yo-yo dieted my entire life, thanks to an overwieght mother. She finally had to have WLS or die about 6 years ago. It saved her life and she lost 300 lbs. While going with her on her journey, I learned so much. I came to understand that it was a tool. But I was still determined to lose the weight on my own. I swam, I worked out, I ate healthy and less. Low carb, high fiber, you name it, I tried it. In a year, including the time I took the prescription Meridia for 6 months I lost a grand total of 5 lbs. That was working out 5 times a week people. My metabolism simply needed a kick start. I had Gastric bypass 2 years ago. I've lost 145 lbs. I'm a comfortable 148 lbs on a 5ft 5 inch frame. Although on the BMI scale I"m still considered overweight, I don't look it, or feel it. I eat very healthy now. I learned the rules and follow them. I'm my own advocate when it comes to my vitamins and lab work. You can not go into the surgery thinking it's the easy way out or you will fail. It's a tool to be used. The major benefit for me is that I don't have acid reflux anymore. I was taking 4 to 5 zantac a day. Having my esophagaus stretched because of damage. As for the lap band. It's failure rate is too high for me. All I can suggest if someone is reading this and considering WLS, do your research, there are several kinds. FInd a good Bariatric Center that can help you decide which one is best for you. Know that you will have to follow-up for LIFE. It's not a quick fix. But know that WLS is a better answer than all thes "miracle drugs" that they keep coming out with and then pulling because of terrible side-effects. I have an aunt who was a pioneer of WLS 30 years ago. She is healthy and has maintained her loss.

    December 14, 2010 at 10:01 | Report abuse | Reply
  3. Name Calling is for Kids

    I am a 29 year old woman with Bi-Polar II disorder.

    I'm 5'2" and weigh 183 pounds. My BMI is 33.5.

    My medication (lithium) is life-sustaining and not negotiable. My normal weight 6 years ago was 140, which was PERFECTLY FINE with me. Then, I got extremely ill and was hospitalized due to my condition for 18 days because of it's severity.

    They put me on the lithium and it saved my life. Unfortunately, it also caused me to gain 60+ pounds within a year. I've been a committed dieter, trying everything : Atkins, Weight Watchers, Nutrisystem, simple calorie counting, even becoming a vegan. All of these included exercise.

    The most I ever lost was 7 pounds. 7 Pounds in 6 years. This is emotionally devastating when you put so much effort into something and get nothing for it.

    My ACL all but tore this year because of my weight. My ankles lock while I sleep and hurt frequently. This has made exercise harder as I do not want it to fully tear, so I am limited in terms of the cardio I can do.

    For all of the people that keep saying, "Stop being a pig and close your mouth.", I'd like you to consider being in my shoes for the past 6 years, and then see how you feel about this surgery being offered to more people. I would hate to be as judgmental as the name callers on here, but I can't help to think you'll probably classify my illness as "lack of self control" too. I can only hope you'll never have to experience it.

    December 26, 2010 at 20:51 | Report abuse | Reply
  4. MIchelle

    For all you calories in calories out people – do you know that person who has lost weight burns fewer calories than a person of the same weight who has never lost weight. Let's do a though experiment. Imagine that do be the same size you are now you have to a) exercise 15% more every single day or b) eat 15% less every single day. Just to stay exactly the size you are now. Could you do it? Look at the guy next to you having a cookie. Or cheese on his burger. Not for you. That birthday cake for your office mate? Not for you. How about a relaxing beer after work? Nope! Try having the stuff that keeps you alive be your worst enemy and have everyone look down at you because you're not 15% more disciplined than they are. What a life.

    February 20, 2011 at 12:29 | Report abuse | Reply
  5. Quality Social Media Likes

    I really like your blog.. very nice colors & theme. Did you make this website yourself or did you hire someone to do it for you? Plz answer back as I'm looking to construct my own blog and would like to know where u got this from. cheers


    February 26, 2021 at 03:27 | Report abuse | Reply
  6. Cheap Instagram Followers

    Write more, thats all I have to say. Literally, it seems as though you relied on the video to make your point. You obviously know what youre talking about, why waste your intelligence on just posting videos to your blog when you could be giving us something informative to read?


    February 26, 2021 at 14:58 | Report abuse | Reply
  7. Blake Darwin

    Hi there, i read your blog occasionally and i own a similar one and i was just curious if you get a lot of spam comments? If so how do you protect against it, any plugin or anything you can advise? I get so much lately it's driving me crazy so any support is very much appreciated.


    March 2, 2021 at 11:52 | Report abuse | Reply
  8. Libbie Lilienthal

    I’m impressed, I must say. Rarely do I come across a blog that’s equally educative and engaging, and let me tell you, you have hit the nail on the head. The issue is something not enough folks are speaking intelligently about. I am very happy I found this in my hunt for something concerning this.


    March 31, 2021 at 23:54 | Report abuse | Reply
  9. tadalafil pills 20mg

    tadalafil pills https://elitadalafill.com/ generic tadalafil united states

    April 4, 2021 at 17:07 | Report abuse | Reply
  10. how does alprostadil treat erectile dysfunction

    alprostadil injection demonstration video https://alprostadildrugs.com/ what is alprostadil used for

    April 7, 2021 at 13:07 | Report abuse | Reply
  11. sildenafil soft

    order sildenafil online uk https://eunicesildenafilcitrate.com/ buy generic 100mg viagra

    April 8, 2021 at 03:16 | Report abuse | Reply
  12. tadalafil pills

    tadalafil 40 mg daily https://elitadalafill.com/ tadalafil 60 mg for sale

    April 13, 2021 at 00:22 | Report abuse | Reply
  13. zithromax strep throat

    zithromax how to take https://zithromaxes.com/ zithromax 500mg tablets

    April 13, 2021 at 16:11 | Report abuse | Reply
  14. can viagra be legally bought from canada

    generic viagra order canada https://canadaviagrastore.com/ canada pharmacy viagra

    April 14, 2021 at 15:57 | Report abuse | Reply
  15. alprostadil intraurethral (muse) therapy

    alprostadil vs bimix vs trimix https://alprostadildrugs.com/ buy muse alprostadil urethral suppository

    April 16, 2021 at 00:08 | Report abuse | Reply
  16. cialis canadian discounts

    canadian pharmacy generic cialis https://canadacialisstore.com/ canadian pharmacy 5 mg daily cialis

    April 19, 2021 at 12:36 | Report abuse | Reply
  17. canadian generic pills

    canadian customs pills vitamins https://canadapillstorex.com/ canadian pills pharmacy

    April 20, 2021 at 10:20 | Report abuse | Reply
  18. vardenafil tablets

    vardenafil https://vegavardenafil.com/ vardenafil coupon

    April 23, 2021 at 01:15 | Report abuse | Reply
  19. ed pills online

    what cause erectile dysfunction https://canadaerectiledysfunctionpills.com/ erectile pump youtube

    April 26, 2021 at 05:25 | Report abuse | Reply
  20. sildenafil generic over the counter

    cheapest sildenafil australia https://eunicesildenafilcitrate.com/ where to buy sildenafil uk

    April 26, 2021 at 10:53 | Report abuse | Reply
  21. getting viagra from canada with no prescription

    viagra canada for sale https://canadaviagrastore.com/ new viagra in canada

    April 27, 2021 at 16:22 | Report abuse | Reply
  22. avana

    avanafil pill avanafil buy

    April 29, 2021 at 05:10 | Report abuse | Reply
  23. best canadian mail order pharmacies for diet pills

    canadian generic pills https://canadapillstorex.com/ canadian diet pills

    April 29, 2021 at 14:37 | Report abuse | Reply
  24. buy cialis online canadian

    do you need prescription for canadian prescription of cialis in usa https://canadacialisstore.com/ canadian generic cialis safe

    April 30, 2021 at 20:53 | Report abuse | Reply
  25. aralen chloroquine phosphate

    cloroquina 250 mg https://chloroquineorigin.com/ chloroquine tablet

    May 1, 2021 at 06:46 | Report abuse | Reply
  26. dapoxetine

    dapoxetine brand name dapoxetine pills for sale

    May 6, 2021 at 23:13 | Report abuse | Reply
  27. Buddy Aden


    May 19, 2021 at 03:08 | Report abuse | Reply
  28. cyclomune

    cyclomune eye drops 1% buy cyclomune online

    May 22, 2021 at 08:28 | Report abuse | Reply
  29. chloroquineorigin

    chloroquine side effects https://chloroquineorigin.com/ aralen uk chloroquine diphosphate chloroquine phosphate tablets

    May 23, 2021 at 03:53 | Report abuse | Reply
  30. brimonidine

    combigan coupon brimonidine eye drops

    May 23, 2021 at 06:16 | Report abuse | Reply
  31. Tritreviewifind

    https://tadalafilww.com/ cialis without prescription generic cialis tadalafil buy generic cialis online with mastercard cialis without prescription

    May 23, 2021 at 17:50 | Report abuse | Reply
  32. tausAffessy

    buy generic cialis online with mastercard tadalafil liquid buy cialis pills https://tadalafilol.com/

    May 23, 2021 at 23:48 | Report abuse | Reply
  33. Soosteemocush

    cheap generic cialis for sale side effects for tadalafil tadalafil daily online where to buy cialis without prescription https://apcalisetadalafil.com/ – canada generic tadalafil

    May 24, 2021 at 07:50 | Report abuse | Reply
  34. tausAffessy

    https://apcalisetadalafil.com/ tadalafil price walmart tadalafil drug cialis without prescription best price usa tadalafil

    May 24, 2021 at 22:57 | Report abuse | Reply
  35. Tritreviewifind

    prescription tadalafil online https://cttadalafil.com/ – tadalafil cost in canada tadalafil cost walmart tadalafil drug https://tadalafilol.com/

    May 25, 2021 at 01:20 | Report abuse | Reply
  36. avana

    buy avana online avana india

    May 25, 2021 at 14:10 | Report abuse | Reply
  37. brimonidine

    brimonidine tartrate brimonidine tartrate 2%

    May 26, 2021 at 05:45 | Report abuse | Reply
  38. Tritreviewifind

    cialis without a prescription tadalafil cost walmart buy tadalis https://tadalafilol.com/

    May 26, 2021 at 06:22 | Report abuse | Reply
  39. tausAffessy

    tadalafil tadalafil generic generic cialis online fast shipping cost of cialis https://tadagatadalafil.com/ – tadalafil brands

    May 26, 2021 at 23:08 | Report abuse | Reply
  40. Unitmerienepeft

    tadalafil generic where to buy tadalafil side effects tadalafil drug buy tadalis https://tadagatadalafil.com/

    May 27, 2021 at 07:23 | Report abuse | Reply
  41. Tembepteriope

    cost tadalafil generic cialis at canadian pharmacy tadalafil daily online https://apcalisetadalafil.com/

    May 27, 2021 at 07:23 | Report abuse | Reply
  42. vaoroi

    Xoilac Tv Thẳng đá Bóngmu vs evertonĐây có lẽ là ngôi trường hợp “của đi thay người" khá may mắn đối với Ben McLemore. Thiếu chút nữa tay ném của Los Angeles Lakers đã có được thể bắt gặp tai nạn nguy hiểm. Cập nhật kết quả trận nước ta vs Lebanon nằm trong play-off vòng loại Futsal World Cup 2021.


    June 16, 2021 at 03:50 | Report abuse | Reply
  43. pharmaceptica.com

    buy sildenafil online canada https://www.pharmaceptica.com/

    June 20, 2021 at 10:17 | Report abuse | Reply
  44. pharmaceptica.com

    prescription tadalafil online https://pharmaceptica.com/

    June 26, 2021 at 16:08 | Report abuse | Reply
1 2

Post a comment


CNN welcomes a lively and courteous discussion as long as you follow the Rules of Conduct set forth in our Terms of Service. Comments are not pre-screened before they post. You agree that anything you post may be used, along with your name and profile picture, in accordance with our Privacy Policy and the license you have granted pursuant to our Terms of Service.

Next entry »
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.