Jackson, MS -- (SBWIRE) -- 01/19/2015 -- There has been much buzz about the new FDA approved surgically implantable weight loss device called Maestro. Although doctors are still uncertain of how the device really operates, it does appear to control the appetite with electrical pulses. Candidates are those who are at least 18 years old, have a BMI of 35 to 45, have been unable to lose weight by following a weight loss program and have one other obesity-related condition, such as type 2 diabetes.

The procedure to insert the Maestro implantable weight loss device involves implanting the device under the skin just above the stomach. Leads are then placed in the position where the esophagus joins the stomach. By sending intermittent bursts of electrical current to the vagus nerve, the central nerve that controls the heart and digestive tract, the stomach is prompted to relax, expand and prepare for food. By blocking signals along the nerves that connect the brain and stomach, it is thought that feelings of hunger are reduced and patients feel full with less food. NBC's Diet and Nutrition editor, Madelyn Fernstrom, surmises that "the implantable weight loss device should work in theory, but it is not entirely clear if it is interfering with hunger or acting in some other way". Fernstrom continues by saying that "patients should not expect health insurance companies to assume responsibility for the cost, which is unknown at this point, but expected to be somewhere between $20,000 and $30,000". The manufacturing company, however, has begun negotiations with insurance carriers and the implantable weight loss device has been recognized as "exploratory" by the board that sets policy for Medicare reimbursements.

http://www.latimes.com/science/sciencenow/la-sci-sn-fda-device-weight-loss-20150114-story.html

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