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  • Health
  • Innovative treatment for obesity


    People in the UK, who have a weight problem and want to lose weight, are in for a shock – literally.

    A new kind of implantable pacemaker, the Implantable Gastric Stimulator (IGS®) called the Transcend® is a new therapy designed to deliver gentle electrical pulses to stimulate the stomach to reduce appetite and hunger pangs

    It is an exciting innovative development in the surgical field and transforms the lives of people who are obese and have been unable to lose weight or keep their weight down.

    This new therapy has been developed by an American company called Transneuronix and is available from Harehill Park in the UK. It offers hope and a new lease of life for obese people, weight loss without the risks associated with major gastric surgery or long-term medications. Other surgical treatments currently have a 1% chance of surgical death with 20% chance of serious post-operative complications.

    ‘The gastric stimulator is an exciting new development that will transform the lives of people who are obese. It will revolutionise the treatment of obesity in the UK’ said Dr. Ian Rankin, Director of Harehill Park, a company he has set up in Macclesfield, Cheshire to deal exclusively with obesity treatment.

    The Transcend®Gastric Stimulator consists of a small battery operated device implanted into the abdomen. A small wire connects the device to the stomach wall. Rather like a cardiac pacemaker, which sends electrical impulses to the heart, the gastric stimulator delivers a small current to the stomach wall. The current is adjusted through a hand held computer by the doctor, which ‘talks’ to the pacemaker through a radio signal. Patients usually do not feel anything when the pacemaker is working. The key-hole surgery takes just about one hour and patients can be admitted as day cases.

    The stimulator delivers energy the stomach causing it to relax, signalling a feeling of fullness and satiety to the brain.

    Since it was first developed in the mid-1990’s, over 700 successful implants have taken place in numerous research studies that have been conducted in the USA and Europe. The results have been astonishing, indicating that weight is not only lost but the weight loss is maintained over several years.

    In the UK the incidence of obesity has trebled in the past twenty years with 21% of men and 24% of women people considered to be clinically obese. It is estimated that if the current trend continues, 35% of the population will be obese in 6 years time.

    Obesity is defined in terms of body mass index (BMI). This is calculated by dividing your weight in kg. by the square of your height in metres. A healthy BMI is around 20-24. A BMI of 30 or above puts a person at risk of a huge range of medical complications such as high blood pressure, diabetes, heart disease or even death. The number of deaths in the next year from people with a BMI 35-40kg/m2 is estimated to be 30,000.

    Currently, weight loss surgery involves putting tight bands around the stomach to reduce its size or radical surgery, in which the stomach is stapled or bypassed to limit the amount of food that can be eaten. However these procedures have many risks including infection, wound problems, blood clots or in extreme cases, death.

    In contrast to this the gastric stimulator has been shown to be very safe, and with zero reports of death or serious complications. According to Scott Shikora, MD of Tufts-New England Medical Center, Boston, Massachusetts, USA “It’s been remarkably complication free”. Dr. Shikora has been testing the devices on obese patients for the last five years. Weight is lost gradually and kept off with the help of a long-term support programme for each person.

    Candy Bradshaw, a 47-year old lady from Worcester, Massachusetts, had the device implanted in 1999 as part of an early study.

    ‘You don’t feel it at all’ she said. Candy noted that the stimulator made her feel full more quickly, so that she does not feel the need to return for more helpings of food. She is now able to walk 5-7 miles a day.

    Denise Rankin, Company Development Manager for Harehill Park commented,

    ‘It is incredible. Although we are just beginning to launch Transcend®, the Gastric Stimulator in the UK, we are overwhelmed by the positive response from people who have already heard about it. The long-term studies show the Transcend® really works. It offers a new gentle, way to deal with being overweight or obese.

    The Transcend® Internal Gastric Stimulator, is only available from Harehill Park Ltd. In Macclesfield, Cheshire.

    Web: www.harehillpark.com
    e-Mail: drankin@dot-medical.com
    Tel: 01625 666932


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