EVALUATION OF OBESE PATIENT
aborashyd83All obese patients BP measurement & heart rateFasting blood sugar, HbA1c and lipid profile Suspected Obstructive Sleep Apnea (daytime sleepiness, loud snoring, gasping or chocking episodes during sleep and awakening…
GASTRIC BYPASS
General Hospital stay 2-4 daysRecovery 2-4 weeksContraindications Poor surgical candidatesSever psychiatric disorderIntolerance to general anesthesiaPregnancyDrug or alcohol addictionUntreated esophagitisUnwillingness or an inability for appropriate long-term follow-up Potential acute complications Gastrointestinal…
LAPAROSCOPIC ADJUSTABLE GASTRIC BANDING
General Outpatient procedureRecovery usually one weekContraindications Poor surgical candidatesSever psychiatric disorderIntolerance to general anesthesiaPregnancyDrug or alcohol addictionUntreated or sever esophagitis Potential acute complications Band too tight with gastrointestinal obstructive symptoms…
SLEEVE GASTRECTOMY
General Hospital stay 1-2 daysRecovery 1-2 weeks Contraindications Poor surgical candidatesSever psychiatric disorderIntolerance to general anesthesiaPregnancyDrug or alcohol addictionUntreated or sever esophagitisBarrett›s esophagusSever gastroparesisAchalasiaPrevious gastrectomy Sometimes used as staged approach…
HIGH-RISK OF BECOMING OBESE
CHECK YOU POSSIBILITY After smoking cessation. On certain medications Polycystic ovarian syndrome Hypothyroidism and pseudo-hypoparathyroidism Hypogonadism Cushing syndrome Hypothalamic Obesity Genetic Syndromes (Prader-Willi syndrome, Alstrom syndrome, Bardet-Biedl syndrome, Cohen syndrome,…
TREATMENT GUIDELINES
Measures of body fat Evidence Statement: Measures of body fat give reasonably equivalent values for following overweight or obese patients during treatment. Evidence Category D. BMI to assess overweight RECOMMENDATION:…
WHAT TREATMENTS ARE EFFECTIVE?
Low Calorie Diet Evidence Statement: LCDs can reduce total body weight by an average of 8 percent over 3 to 12 months. Evidence Category A. decrease in abdominal fat Evidence…
WHY TREAT OVERWEIGHT AND OBESITY?
reduces blood pressure Evidence Statement: Weight loss produced by lifestyle modifications reduces blood pressure in overweight hypertensive patients. Evidence Category A. overweight nonhypertensive individuals. Evidence Statement: Weight loss produced by…
WHAT EXPERT TELL ABOUT OBESITY
After the obesity classified as a disease and has had an International Classification of Disease code since just after World War II, many researches and articles focus on obesity…
Goals for Weight Loss and Management
Reduce body weight Maintain a lower body weight over the long term Prevent further weight gain .