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plea for obesity surgery as a treatment option

The "Expert Group Metabolic Surgery is committed to the surgical treatment of obesity.

FRANKFURT / MAIN (NER). Obese people are left in Germany alone. The defendant, a group of internists, surgeons and nutritionists. It speaks for itself increasingly from surgical treatment options. I

in the fight against overweight and obesity in Germany already taken hold resignation, says the Bad Nauheim diabetologist Professor Andreas Hamann. He is a member of the Expert Group Metabolic Surgery ", which explicitly for surgical treatments for obesity strong.

This is according to Professor Rudolf Weiner in Frankfurt am Main has therefore necessary to an "economic tsunami" to prevent the health care system, like the surgeon said at a training event in Frankfurt.

The expert group argued, can that be achieved with interventions such as the insertion of a gastric band, gastric bypass surgery or operations on the small intestine in patients with BMI 35-40 drastic reductions in weight, type 2 diabetes often need within a short time, no insulin more sink, elevated blood pressure, lipid disorders improve.

was important an interdisciplinary rehabilitation approach, stressing the diabetologist Dr. Jörg Simon from Fulda. These include nutritional advice, exercise programs, laboratory tests, possibly lifelong substitution of certain vitamins and minerals as well as psychological support.

The expert group aims to integrated care contracts with health insurance. Currently defined criteria, is indicated for which patients the metabolic surgery.

Weiner stressed that offer only centers in which different surgical techniques of metabolic surgery are mastered, an individually tailored treatment could. Of which give there in Germany at the moment very few.

BUT:

Without treatment, no claim for gastric band op

COLOGNE (iss). Health patients who are overweight have a right to a surgical gastric banding reduction at the expense of public health insurance (SHI), if previously not integrated obesity treatment under medical supervision to have succeeded. This was decided by the Social Court of Dortmund (SG) in a non-final ruling.

A 49-year-old woman today was 2006, the reimbursement for obesity-Op requested. She had already lost several times in weight by dieting, but never with long-lasting effects. The woman suffered from increasing immobility, diabetes type 2 and highly painful degenerative joint disease.

While several doctors supported the concerns of the patient who saw the medical services of health insurance do not need a gastric band reduction. Reason: The woman had not been subjected to six-to twelve-month integrated nutrition, exercise and behavioral therapy.

The woman complained, but received before the SG. "A residential treatment in an acute hospital is appropriate only when the treatment goal is not to others Paths can be achieved, "the judges said.

The previous diet attempts have shown that the woman was able to reduce their weight." The problem lies rather in their eating and physical activity after weight reduction. "

consists According to the judge even after the surgery, "This suggests to try here is primarily a longer-term conversion of an integrated therapy."

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