Obesity

2021 ◽  
pp. 1005-1022
Author(s):  
John Wilding

This chapter covers the definition of obesity and goes into the epidemiology and aetiology of obesity. The pathophysiology and consequences of living as an obese person are commented on, and the management of the obese patient is covered. Finally, bariatric surgery is explained.

2019 ◽  
Vol 15 (2) ◽  
pp. 288-294 ◽  
Author(s):  
Jose Melendez-Rosado ◽  
David Gutierrez-Blanco ◽  
Alison Schneider ◽  
Emanuele Lo Menzo ◽  
Samuel Szomstein ◽  
...  

Author(s):  
Derrick Cetin

Evaluation of the obese patient requires identification of all comorbidities and health conditions, including underlying cardiac and pulmonary conditions that could have a negative outcome on noncardiac surgery. Once comorbidities have been recognized, aggressive optimization of these medical conditions can provide improved outcomes after bariatric surgery. Estimating medical risk can be performed by several validated classification systems. The preoperative checklist and clinical practice guidelines (CPG) were updated in 2013. The CPG recommendations for preoperative evaluation of the bariatric surgery patient include lab testing, nutritional screening, endocrine assessment, and cardiopulmonary assessment, including sleep apnea screening. The CPG suggest an extensive multidisciplinary team approach to the preoperative bariatric surgery patient. Finally, the medical evaluation includes an algorithm for a seven-step approach to the preoperative visit. Also recommended for evaluation of the morbidly obese patient is an algorithm that uses a five-step approach after a comprehensive history and physical exam and lab testing.


2012 ◽  
Vol 255 (2) ◽  
pp. 287-293 ◽  
Author(s):  
Robert B. Dorman ◽  
Federico J. Serrot ◽  
Christopher J. Miller ◽  
Bridget M. Slusarek ◽  
Barbara K. Sampson ◽  
...  

2016 ◽  
Vol 13 ◽  
pp. 43-44 ◽  
Author(s):  
A.H. Togo ◽  
S. Khelaifia ◽  
R. Valero ◽  
F. Cadoret ◽  
D. Raoult ◽  
...  

2018 ◽  
Vol 154 (6) ◽  
pp. S-237
Author(s):  
Mohannad Abou Saleh ◽  
Vijit Chouhan ◽  
Emad Mansoor ◽  
Katarina Greer ◽  
Leena Khaitan ◽  
...  

Author(s):  
Bartolome Burguera ◽  
Amani Mohamed Hag ◽  
Leslie J. Heinberg

Bariatric surgery is the most effective therapy for morbid obesity. Unfortunately, a significant number of patients experience significant postoperative weight regain, which undermines the metabolic and cardiovascular benefits of weight loss associated with surgery. When revisional procedures are not indicated and/or when behavioral factors are present (e.g., nonadherence, eating pathology), bariatric programs currently do not have any empirically evaluated treatment options to offer those burdened with less favorable outcomes. This chapter reviews the definition of successful weight loss after bariatric surgery, as well as some biologic and behavioral factors that could be implicated in weight regain after surgery. Finally, we outline the scientific evidence supporting the use of behavioral and medical therapies to prevent weight regain after surgery. Bariatric programs need to determine from clinical experience, as well as through clinical trials, what behavioral/medical therapies are the most effective for managing weight gain after bariatric surgery.


Author(s):  
D Blánquez Martínez ◽  
M Hayon Ponce ◽  
P Nieto Gómez ◽  
ÁS Raquel ◽  
X Diaz Villamarin ◽  
...  

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