Overall description of obesity management made very simple and easy to understand

1. MANAGEMENT OF OBESITY

2. THERAPEUTIC OPTIONS FOR
OBESITY

3. MEDICAL MANAGEMENT
 Usually reserved for patients with high
risk of complications from obesity
 Drugs include:
 Orlistat
 Liraglutide
 Combination of naltrexone+noradrenaline

4. BARIATRIC SURGERY

5. BARIATRIC SURGERY ALSO
CALLED AS METABOLIC
SURGERY
BUT WHY?

6. METABOLIC SYNDROME
 HIGH BLOOD PRESSURE
 TYPE II DM
 DYSLIPIDAEMIA
 PCOS

7. INDICATIONS FOR BARIATRIC
SURGERY:
 Anyone who’s BMI≥40
 BMI ≥ 35 with onset of type 2 diabetis
in past 10 years
 Option of choice when BMI>50 when
other interventions have been
ineffective

8. GASTRIC BANDING
 Pars Flaccida Technique – small virtual
gastric pouch made
 Objective – sweet spot of optimal appetite
control
 High band removal rate

9. ROUX-en-Y GASTRIC
BYPASS
 Short vertical lesser curvature based
gastric pouch
 Gastric pouch anastomosed to
jejunum
 Bowel continuity restored
 Perform leak test

10. SLEEVE GASTRECTOMY
 Divided fundus left in continuity with
lesser curve based tube
 Achilles heel
 Low perioperative risk
 Proportion of patients may need
revisional surgery

11. BILIOPANCREATIC DIVERSION
 Produces greater weight loss than
other procedures
 Higher nutritional complication rate
 MOA-malabsorption of calories

12. OTHER PROCEDURES:
 BANDED ROUX-EN-Y GASTRIC
BYPASS
 ONE ANASTOMOSIS GASTRIC
BYPASS
 SLEEVE GASTRECTOMY AND
ILEAL TRANSPOSITION
 LIPOSUCTION

13. COMPLICATIONS

14. FOLLOW UP CARE

15. THANK YOU