The Medical Letter on Drugs and Therapeutics
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AspireAssist - A New Device for Weight Loss

The FDA has approved AspireAssist (Aspire Bariatrics), a weight-loss device that permits patients to drain a portion of their stomach contents through a gastrostomy tube into a toilet after each meal. It is approved for long-term use in combination with lifestyle modifications in adults ≥22 years old who have a body mass index (BMI) of 35 to 55 and have not been able to achieve and maintain weight loss with nonsurgical therapy.

WEIGHT LOSS PROCEDURES — Surgical treatment of obesity is generally limited to patients with a BMI ≥40, or a BMI ≥35 with an obesity-related comorbidity such as diabetes, hypertension, or hypercholesterolemia. Procedures that cause malabsorption (Roux-en-Y gastric bypass and biliopancreatic diversion) lead to greater weight loss, but more adverse effects, than purely restrictive procedures such as adjustable gastric banding or sleeve gastrectomy. ... more      

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