Thank You...There IS a GOD !!!!!!!!!!!!

Mar 22, 2010

Now this by no means changes my way of thinking BUT....I really have been beating myself up lately and this article just shows...I have ACTUALLY SURPASSED what would be successful bariatric surgery considering where my initial BMI started out. This doesn't mean I'm going to NOT going to lose the last 20 and get to my own personal goal...this just means that I AM considered a SUCCESS!!!!!! I really needed to read this...couldn't have come at a better time. I already see the difference in my attitude after just skimming though this article.


Here's a recent article on the feasibility of calculating stable weight loss at 3 yrs for patients with BMI >50<:

Expected body mass index after bariatric surgery
Author(s): Baltasar A (Baltasar, Aniceto)1, Serra C (Serra, Carlos)1, Bou R (Bou, Rafael)1, Bengochea M (Bengochea, Marcelo)1, Perez N (Perez, Nieves)1, Borras F (Borras, Fernando)2, Marceau P (Marceau, Picard)3
Source: CIRUGIA ESPANOLA    Volume: 86    Issue: 5    Pages: 308-312    Published: NOV 2009  
 
Abstract: Introduction: The body mass index (BMI) is the most practical method to measure and compare obesity between individuals. The Percentage of Excess BMI Loss (PEBMIL) is used to present results in operated patients and is based on the premise that a BMI-25 is the final aim, on being the upper limit in normal subjects. It is possible to achieve a BMI-25 in morbid obese (MO) patients with initial low BMIs (<50) but it is rare in overweight (OW) patients with a BMI > 50. Expected BMI (EBMI) would be that which should be reached by all subjects depending on their initial BMI.

Objective: The objective of this study is to search for, using statistical methods, a formula based on clinical evidence that can identify the EBMI depending on the initial BMI. Patients and method: We analysed the initial and final BMI in a group of 135 MO patients, operated on using the duodenal switch procedure and with a follow up of over 3 years. A linear regression method has been used to obtain a formula that could calculate the EBMI of each patient operated on.

Results: We obtained an algorithm in which EBMI = Initial BMI x 0.33+14. If we apply the individualised EBMI instead of the BMI-25, the median PEBMIL was 99.48 (range: 76.75-110.46).

Conclusion: This result suggests that the application of an individual EBMI is a more reliable estimate of the success or failure of bariatric operations. (C) 2008 AEC. Published by Elsevier Espana, S.L. All rights reserved.

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