Morbid obesity

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  • 1. DONE BY :- HAMAD EMAD THUHAYR SUPERVISOR BY :- DR. AHMED AND DR. OTHMAN 2ST BGM SOEPLE 3 Morbid obesity
  • 2. Contents  Introduction  How to calculate BMI  Risk factor  Sings and Symptome  Physical Effects of Obesity  Treatment  References
  • 3. 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.
  • 4. How to calculate BMI
  • 5. 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.
  • 6. Signs and Symptomes  The symptoms of obesity are weight gain and a body mass index (BMI) above 40  Body fat distribution Apple shaped obesity .
  • 7. Body fat distribution Apple shaped obesity Women cm >88 cm (80cm) = Increased risk Men >102 cm (90cm) = Increased risk Lean MEJ et al. Lancet; 1998; 351:853-6
  • 8. Physical Effects of Obesity Stroke Respiratory disease Gall bladder disease Cardiovascular Diabetes Osteoarthritis Hormonal abnormalities gout Cancer
  • 9. 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.
  • 10. Cont….. 2. Bariatric Surgery  Purely Restrictive   Sleeve Gastrectomy   Gastric Balloons 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
  • 11. Refferences  Oxford Handbook of Clinical Medicine  www.wikipedia.org  www.emedicinehealth.com  CECIL , GOLDMAN 26 EDETION.