Morbid obesity
DONE BY :- HAMAD EMAD THUHAYR
SUPERVISOR BY :- DR. AHMED AND DR. OTHMAN
2ST BGM SOEPLE 3
Contents
Introduction
How to calculate BMI Risk factor
Sings and Symptome
Physical Effects of Obesity
Treatment
References
Introduction
morbid obesity
the condition of weighing two or more
the ideal weight; so called because it is associated
with many serious and life-threatening disorders.
How to calculate BMI
Risk factor
When you eat more, the result of too much fat being stored in your body.
stress, anxiety, and lack of sleep, can lead to weight gain.
People who quit smoking often experience temporary weight gain.
Women may also have trouble losing the weight they gain during pregnancy or gain additional weight during menopause.
Certain medications, such as birth control pills and antidepressants, can cause weight gain.
Genetic factors can play a role in how your body stores energy, but this
relationship has not been fully researched. Current research
is investigating the relationship between genetics and body weight.
Signs and Symptomes
The symptoms of obesity are weight gain and a body mass index (BMI) above 40
Body fat distribution Apple shaped obesity .
Women
>88 cm (80cm) = Increased risk
Men
>102 cm (90cm) = Increased risk
Lean MEJ et al. Lancet; 1998; 351:853-6
Body fat distributionApple shaped obesity
cm
Physical Effects of Obesity
CardiovascularRespiratory disease
Gall bladder disease
Hormonal abnormalities
gout
Stroke
Diabetes
Osteoarthritis
Cancer
Treatment
1. Non-Surgical: Diet, Exercise, and Behavior Modification
Traditional weight loss programs rely on a combination of diet, exercise, and behavior modification.
Unfortunately, even the best programs only work for a small percentage of people—like less than 5% achieve long-term success. According to the National Institutes of Health NIH, more than 90% of all weight loss program participants regain their weight within one year. And it's even more difficult for morbidly obese patients.
We recommend considering surgical weight loss options for these patients.
In fact, the risk of death from not having surgery is greater than the risks of surgery.
Cont…..
2. Bariatric Surgery Purely Restrictive
Gastric Balloons
Sleeve Gastrectomy
Gastric adjustable banding
Restrictive > Malabsorptive Short-limb/Roux-en-Y gastric bypass
Malabsorptive > Restrictive Biliopancreatic diversion (BPD)
BPD with duodenal switch
Long limb Roux-en-Y gastric bypass
Refferences
Oxford Handbook of Clinical Medicine
www.wikipedia.org
www.emedicinehealth.com
CECIL , GOLDMAN 26 EDETION.