Gastric surgery to lose weight has been in the news in England because an overweight woman who has a popular talk show lost a lot of weight and attributed it to a better diet and walking her dog and moving around more. She was on the cover of many women's mags with stories giving her tips for weight loss.
Well, it turns out that her weight loss was due to secret gastric band surgery. A few years ago, another UK celebrity with a talk show had actually gone on a reality show where she competed to lose weight with other celebs. She started a diet column for a national newspaper giving helpful hints to the rest of us who struggle with weight. Then someone turned her in to a newspaper -- she had seen her on the train to Belgium to get a gastric band operation. The woman had noticed her on the train, then seen her at the clinic. I guess she got sick of the woman crowing about her successful diets when she knew it was a sham.
In yesterday's Times, there was a fascinating article about how gastric surgery doesn't actually fix the problem that obese people have. Here's what it says:
"...amid the rush to slim by scalpel, doctors and patients are ignoring the fact that it isn't an easy cheat. While thousands of people do benefit, one operation in five fails because of a patient's significant psychological problems - the problems that led to their obesity - remaining unaddressed. The alarming way that many of these failures manifest themselves as binge-eating, severe depression, suicide or addictions is making experts increasingly sceptical.
John Morgan, a consultant psychiatrist at the Yorkshire Centre for Eating Disorders, began tracking obesity-surgery patients at St George's Hospital, South London, nine years ago. 'Since then we have been turning out follow-up studies saying that psychological issues are powerful predictors of postoperative results. About a quarter to a fifth of patients who have surgery have bad outcomes, particularly if they have a history of binge eating, bulimia, depression or anorexia.
'If you are eating because of a need in your brain rather than a need for stomach satiety signals, having your stomach reduced is not going to solve that,” he says. “In fact, having your stomach reduced will mean that you can't placate yourself in your usual way, so you can keep resolutely eating until you effectively reverse the operation by displacing the stomach band or creating a pouch in your intestines.'
A report in Pulse, the newspaper for doctors, highlights a problem called “soft calorie” syndrome, where patients cheat by consuming semi-liquid food that passes through the gut restriction. Nutritionists report stratagems such as melting Mars bars and liquidising McDonald's meals.
American psychologists have discovered how significant numbers of surgery patients become alcoholics, binge-shoppers or sex addicts. Melodie Moorehead, of the JFK Medical Centre in Atlantis, Florida, calls the problem “addiction transfer”.
A reader sent in this sad article about a woman in Mississippi:

Ann Beauchamp, 37, saved for years to have gastric bypass surgery, but by the time she raised the money, she had gained too much weight to have the procedure. The risk of complications greatly increases in patients who weigh more than 500 pounds. Beauchamp's daughter, Amanda, 19, is her mother's primary caregiver.
"It's hard not to eat. It's like an addiction or somebody with drugs or alcohol," Beauchamp said. "There's nobody that can help me with that addiction besides me."
Beauchamp has had success and setbacks losing weight. In 2004, she was the ideal weight to have the surgery. Family and friends raised $6,000 for the down payment for the $25,000 procedure. However, during the two years it took to raise the money, her weight shot up to about 600 pounds.