This document discusses total knee arthroplasty and surgical options for morbid obesity. It defines morbid obesity as having a BMI over 40 or over 37.5 for Asians. Surgical interventions like gastric bypass and sleeve gastrectomy are described as the most effective treatments for achieving significant and long-term weight loss for those with morbid obesity. These procedures work by restricting food intake and sometimes interfering with nutrient absorption. The risks of morbid obesity include diabetes, cancer, heart disease and early mortality which can be reduced through successful weight loss surgery.
Sarcopenic obesity is a chronic condition, which is due to progressively aging populations, the increasing incidence of obesity, and lifestyle changes. The increasing prevalence of sarcopenic obesity in elderly has augmented interest in identifying the most effective treatment. This article aims at highlighting potential pathways to muscle impairment in obese individuals, the consequences that joint obesity and muscle impairment may have on health and disability, recent progress in management with attention on lifestyle management and pharmacologic therapy involved in reversing sarcopenic obesity. Recent findings: It has been suggested that a number of disorders affecting metabolism, physical capacity, and quality of life may be attributed to sarcopenic obesity. Excess dietary intake, physical inactivity, low-grade inflammation, insulin resistance and hormonal changes may lead to the development of sarcopenic obesity. Weight loss and exercise independently reverse sarcopenic obesity. Optimum protein intake appears to have beneficial effects on net muscle protein accretion in older adults. Myostatin inhibition causes favourable changes in body composition. Testosterone and growth hormone offer improvements in body composition but the benefits must be weighed against potential risks of therapy. GHRH-analog therapy is effective but further studies are needed in older adults. Summary: Lifestyle changes involving both diet-induced weight loss and regular exercise appear to be the optimal treatment for sarcopenic obesity. It is also advisable to maintain adequate protein intake. Ongoing studies will determine whether pharmacologic therapy such as myostatin inhibitors or GHRH-analogs have a role in the treatment of sarcopenic obesity.
Bariatric Surgery Hospitals in Hyderabad | Yashoda HospitalsYashodaHospitals
A surgical procedure for weight loss - Bariatric Surgery. Yashoda Hospitals is the best hospital for bariatric surgery in Hyderabad, India. We provide minimally invasive or laparoscopic surgical treatment for bariatric surgery with the help of advanced technology.
BARIATRIC SURGERY IN TREATMENT OF MORBIDLY OBESE PATIENTSweightlossindia
Only surgery has proven effective over the long term
for most patients with clinically severe obesity.”
- NIH Consensus Conference Statement, 1991
Surgery for the treatment of clinically severe obesity
is endorsed by:
The National Institutes of Health
The American Medical Association
The National Institute of Diabetes and Digestive
and Kidney Diseases
American Association of Family Practitioners
Bariatric surgery is effective for treating morbid obesity. Common procedures include gastric bypass and gastric banding, which achieve weight loss through restriction and malabsorption. Candidates must have a BMI over 40 or over 35 with comorbidities. Risks include leaks and DVTs. Weight loss improves related conditions like diabetes. Plastic surgery after significant weight loss addresses excess skin.
Bariatric surgery is a procedure performed for individuals who are dangerously overweight, with a body mass index over 40, or who have serious health issues related to their weight. Doctors usually recommend lifestyle changes like diet and exercise before surgery. Bariatric surgery reduces weight quickly and helps alleviate many health conditions, taking pressure off body systems. While bariatric surgery has benefits and is often successful, it is still a major surgery with risks, so patients must take it seriously and follow doctors' instructions before and after.
This document provides information on diet counselling for reducing obesity risks. It defines obesity as excessive body fat accumulation of at least 20% higher than ideal weight. Obesity is a serious health issue that increases risks of diseases like diabetes and heart disease. Dietary treatments for obesity include low-calorie diets, meal replacements, very low-calorie diets, and consideration of macronutrient composition, portion size, energy density and satiety. Behavioral changes like eating at set meal times and preparing more home-cooked meals can also help reduce risks of obesity.
This document discusses total knee arthroplasty and surgical options for morbid obesity. It defines morbid obesity as having a BMI over 40 or over 37.5 for Asians. Surgical interventions like gastric bypass and sleeve gastrectomy are described as the most effective treatments for achieving significant and long-term weight loss for those with morbid obesity. These procedures work by restricting food intake and sometimes interfering with nutrient absorption. The risks of morbid obesity include diabetes, cancer, heart disease and early mortality which can be reduced through successful weight loss surgery.
Sarcopenic obesity is a chronic condition, which is due to progressively aging populations, the increasing incidence of obesity, and lifestyle changes. The increasing prevalence of sarcopenic obesity in elderly has augmented interest in identifying the most effective treatment. This article aims at highlighting potential pathways to muscle impairment in obese individuals, the consequences that joint obesity and muscle impairment may have on health and disability, recent progress in management with attention on lifestyle management and pharmacologic therapy involved in reversing sarcopenic obesity. Recent findings: It has been suggested that a number of disorders affecting metabolism, physical capacity, and quality of life may be attributed to sarcopenic obesity. Excess dietary intake, physical inactivity, low-grade inflammation, insulin resistance and hormonal changes may lead to the development of sarcopenic obesity. Weight loss and exercise independently reverse sarcopenic obesity. Optimum protein intake appears to have beneficial effects on net muscle protein accretion in older adults. Myostatin inhibition causes favourable changes in body composition. Testosterone and growth hormone offer improvements in body composition but the benefits must be weighed against potential risks of therapy. GHRH-analog therapy is effective but further studies are needed in older adults. Summary: Lifestyle changes involving both diet-induced weight loss and regular exercise appear to be the optimal treatment for sarcopenic obesity. It is also advisable to maintain adequate protein intake. Ongoing studies will determine whether pharmacologic therapy such as myostatin inhibitors or GHRH-analogs have a role in the treatment of sarcopenic obesity.
Bariatric Surgery Hospitals in Hyderabad | Yashoda HospitalsYashodaHospitals
A surgical procedure for weight loss - Bariatric Surgery. Yashoda Hospitals is the best hospital for bariatric surgery in Hyderabad, India. We provide minimally invasive or laparoscopic surgical treatment for bariatric surgery with the help of advanced technology.
BARIATRIC SURGERY IN TREATMENT OF MORBIDLY OBESE PATIENTSweightlossindia
Only surgery has proven effective over the long term
for most patients with clinically severe obesity.”
- NIH Consensus Conference Statement, 1991
Surgery for the treatment of clinically severe obesity
is endorsed by:
The National Institutes of Health
The American Medical Association
The National Institute of Diabetes and Digestive
and Kidney Diseases
American Association of Family Practitioners
Bariatric surgery is effective for treating morbid obesity. Common procedures include gastric bypass and gastric banding, which achieve weight loss through restriction and malabsorption. Candidates must have a BMI over 40 or over 35 with comorbidities. Risks include leaks and DVTs. Weight loss improves related conditions like diabetes. Plastic surgery after significant weight loss addresses excess skin.
Bariatric surgery is a procedure performed for individuals who are dangerously overweight, with a body mass index over 40, or who have serious health issues related to their weight. Doctors usually recommend lifestyle changes like diet and exercise before surgery. Bariatric surgery reduces weight quickly and helps alleviate many health conditions, taking pressure off body systems. While bariatric surgery has benefits and is often successful, it is still a major surgery with risks, so patients must take it seriously and follow doctors' instructions before and after.
This document provides information on diet counselling for reducing obesity risks. It defines obesity as excessive body fat accumulation of at least 20% higher than ideal weight. Obesity is a serious health issue that increases risks of diseases like diabetes and heart disease. Dietary treatments for obesity include low-calorie diets, meal replacements, very low-calorie diets, and consideration of macronutrient composition, portion size, energy density and satiety. Behavioral changes like eating at set meal times and preparing more home-cooked meals can also help reduce risks of obesity.
Bariatric surgery is a safe and effective treatment option for those affected by severe obesity. Gastric bypass surgery is a type of weight-loss surgery. It's important to understand risks and results of gastric bypass and other types of bariatric surgery.
This document discusses nutrition therapy for bariatric surgery patients with morbid obesity. It outlines the multidisciplinary pre-surgical evaluation process and post-surgical diet progression from clear liquids to soft foods to a regular diet. Common nutritional deficiencies after different bariatric procedures are described along with supplementation recommendations. Lifelong vitamin supplementation is emphasized to prevent deficiencies. Bariatric surgery is shown to effectively treat obesity-related comorbidities and improve quality of life when combined with lifestyle changes.
This ppt contains all the details about what is obesity, etiology, & mainly focuses on various methods of assessment of obesity from field tests to lab tests.
This document provides an overview of a nurse's role in nutritional assessment. It discusses monitoring clients with acute and chronic nutritional needs, incorporating family eating habits, and teaching community nutrition. A multidisciplinary approach involving nurses, dieticians, and other providers is emphasized. Methods for nutritional assessment addressed include food intake assessments, physical exams, anthropometric tools, and clinical lab values. Risk factors for inadequate nutrition and their potential impacts are also outlined.
Obesity in Adolescent- Right Time to InterveneSujoy Dasgupta
Invited lecture by Dr Sujoy Dasgupta in a Webinar by Food, Drugs and Medicosurgical Equipment Committee of FOGSI (Federation of Obstetric and Gynaecological Societies of India) on “Adolescent Nutrition: Challenges and Way Forward” held in November, 2021.
Losing abdominal fat, or belly fat, is a common weight loss goal.
Abdominal fat is a particularly harmful type. Research suggests strong links with diseases like type 2 diabetes and heart disease (1Trusted Source).
For this reason, losing this fat can have significant benefits for your health and well-being.
You can measure your abdominal fat by measuring the circumference around your waist with a tape measure. Measures of above 40 inches (102 cm) in men and 35 inches (88 cm) in women are known as abdominal obesity (2).
Certain weight loss strategies can target the fat in the belly area more than other areas of the body.
Losing abdominal fat, or belly fat, is a common weight loss goal.
Abdominal fat is a particularly harmful type. Research suggests strong links with diseases like
type 2 diabetes and heart disease
For this reason, losing this fat can have significant benefits for your health and well-being.
Certain weight loss strategies can target the fat in the belly area more than other areas of the body.
Here are 6 evidence-based ways to lose belly fat.
Losing abdominal fat, or belly fat, is a common weight loss goal.
Abdominal fat is a particularly harmful type. Research suggests strong links with diseases like
type 2 diabetes and heart disease (1 ).
For this reason, losing this fat can have significant benefits for your health and well-being.
Health, Diet & Exercise, Dr M D Mohire, Kolhapur, Maharashtra, INDIA.Mahavir Mohire
This document discusses various topics related to health, diet, and exercise. It provides definitions of health from WHO and describes how healthy habits developed everyday can help maintain good health. It then discusses topics like obesity, metabolic syndrome, cardiovascular diseases, diabetes, hypertension, and lifestyle factors like physical inactivity and stress that can negatively impact health. It provides recommendations for maintaining a healthy diet and lifestyle to reduce the risk of non-communicable diseases.
Excess sugar consumption, particularly from sugary drinks, may be the primary driver of excess abdominal and liver fat according to studies. Eating plenty of protein can boost metabolism and reduce hunger, making it an effective way to lose weight, especially abdominal fat. Cutting carbs is shown to reduce abdominal fat around organs and liver more than other diets. Soluble fiber intake may lead to reduced belly fat by slowing digestion and reducing appetite. Exercise through activities like walking and swimming can allow major reductions in abdominal fat. Tracking food intake periodically can help identify areas for dietary changes.
The document discusses various topics related to health, diet, and exercise. It defines health according to the WHO as not just the absence of disease but a state of physical, mental and social well-being. It emphasizes that healthy habits practiced daily are important for staying healthy. It also discusses obesity, metabolic syndrome, cardiovascular disease, diabetes, and hypertension as major health issues. It provides definitions for BMI and metabolic syndrome. Finally, it stresses the importance of physical activity, nutrition, managing stress, and maintaining a healthy lifestyle for overall health and wellness.
Weight gain and physical activity in mid life !Maninder Ahuja
life style modifications are the main stay of our holistic approach to health through out our life but many of us are ignorant about this and don't know what is right and wrong .This presentation is a step towards that.
This document provides an overview of nutritional assessment. It discusses the goals of assessment as identifying malnutrition, obesity, and devising treatment plans. Assessment includes clinical history, physical exam, screening tools, anthropometrics, lab tests, and body composition analysis. Specific assessment measures are described in detail such as the subjective global assessment screening tool, body mass index, serum proteins, and creatinine tests. The document provides reference values and factors that influence various assessment markers.
1) Obesity is a medical condition where excess body fat has accumulated to the point of negatively impacting health or increasing health risks.
2) It is caused by consuming more calories than burned through physical activity and can be influenced by genetic and environmental factors like lack of exercise, diet, medication, and psychiatric illness.
3) Obesity increases the risk of diseases like heart disease, diabetes, cancer, and breathing problems during sleep and can reduce life expectancy. Maintaining a healthy weight through diet and exercise can help prevent and treat obesity.
This document discusses obesity, overweight, and maintaining a healthy weight. It defines obesity and overweight, examines the health risks of excess weight, and identifies factors that contribute to obesity like calorie intake, heredity, and sedentary lifestyles. The document also explores methods of measuring body composition, such as BMI and body fat percentage. It outlines strategies for weight management, including lifestyle changes like diet and exercise, as well as surgical and pharmaceutical interventions. Finally, the document discusses eating disorders and provides tips for healthy eating and weight loss.
power point presentation on obesity by Rajeshwaree Netha (Doctor of pharmacy).
contents included are Introduction,pathophyisiology,clinical presentation (signs and symptoms of obesity disorder) ,Treatment,goals of treatment, general approach, Pharmacological treatment, and Evaluation of therapeutic outcomes.
Abdominal fat is a particularly harmful type. Research suggests strong links with diseases like type 2 diabetes and heart disease (1Trusted Source).
For this reason, losing this fat can have significant benefits for your health and well-being.
You can measure your abdominal fat by measuring the circumference around your waist with a tape measure. Measures of above 40 inches (102 cm) in men and 35 inches (88 cm) in women are known as abdominal obesity (2).
Certain weight loss strategies can target the fat in the belly area more than other areas of the body.
GEM Obesity & Diabetes Surgery Center is now the proud recipient of South India's FIRST & ONLY Bariatric Surgery Center of Excellence (BSCOE) designation in India. Also, Dr. Praveen Raj is the only surgeon in south India to be branded as the Bariatric Surgeon of Excellence in this part of the globe. This validates our enduring commitment to provide the safest and highest quality of care to our patient population.
International Excellence federation is an Organisation formed by 30 members from all over the Asia Pacific with expertise in the management of Obesity & associated diseases. It includes centres from China, Taiwan, Japan, Australia, Thailand, Singapore, Hong Kong and India. Four centres from India were invited to be a part of this (2 from Pune, one from Mumbai), with GEM OBESITY & DIABETES SURGERY CENTRE being the only centre from the South India invited to a part of this federation.
Also, considering the expertise, GEM OBESITY & DIABETES SURGERY CENTRE was also recognized as the only training centre of the Federation to offer training for surgeons in the field of Bariatric Surgery in the Asia Pacific.
The Utah Center for Minimally Invasive and Bariatric Surgery Weight Loss BinderMedSitez
The document provides information for patients after bariatric surgery, including details about the first night in the hospital after surgery involving IV pain medication and being NPO, starting a clear liquid diet the next day and following discharge instructions focused on diet, exercise, follow-up care and medications. It also outlines expectations for activity in the hospital like using an incentive spirometer, getting out of bed, and sitting up to promote recovery.
Bariatric surgery is a safe and effective treatment option for those affected by severe obesity. Gastric bypass surgery is a type of weight-loss surgery. It's important to understand risks and results of gastric bypass and other types of bariatric surgery.
This document discusses nutrition therapy for bariatric surgery patients with morbid obesity. It outlines the multidisciplinary pre-surgical evaluation process and post-surgical diet progression from clear liquids to soft foods to a regular diet. Common nutritional deficiencies after different bariatric procedures are described along with supplementation recommendations. Lifelong vitamin supplementation is emphasized to prevent deficiencies. Bariatric surgery is shown to effectively treat obesity-related comorbidities and improve quality of life when combined with lifestyle changes.
This ppt contains all the details about what is obesity, etiology, & mainly focuses on various methods of assessment of obesity from field tests to lab tests.
This document provides an overview of a nurse's role in nutritional assessment. It discusses monitoring clients with acute and chronic nutritional needs, incorporating family eating habits, and teaching community nutrition. A multidisciplinary approach involving nurses, dieticians, and other providers is emphasized. Methods for nutritional assessment addressed include food intake assessments, physical exams, anthropometric tools, and clinical lab values. Risk factors for inadequate nutrition and their potential impacts are also outlined.
Obesity in Adolescent- Right Time to InterveneSujoy Dasgupta
Invited lecture by Dr Sujoy Dasgupta in a Webinar by Food, Drugs and Medicosurgical Equipment Committee of FOGSI (Federation of Obstetric and Gynaecological Societies of India) on “Adolescent Nutrition: Challenges and Way Forward” held in November, 2021.
Losing abdominal fat, or belly fat, is a common weight loss goal.
Abdominal fat is a particularly harmful type. Research suggests strong links with diseases like type 2 diabetes and heart disease (1Trusted Source).
For this reason, losing this fat can have significant benefits for your health and well-being.
You can measure your abdominal fat by measuring the circumference around your waist with a tape measure. Measures of above 40 inches (102 cm) in men and 35 inches (88 cm) in women are known as abdominal obesity (2).
Certain weight loss strategies can target the fat in the belly area more than other areas of the body.
Losing abdominal fat, or belly fat, is a common weight loss goal.
Abdominal fat is a particularly harmful type. Research suggests strong links with diseases like
type 2 diabetes and heart disease
For this reason, losing this fat can have significant benefits for your health and well-being.
Certain weight loss strategies can target the fat in the belly area more than other areas of the body.
Here are 6 evidence-based ways to lose belly fat.
Losing abdominal fat, or belly fat, is a common weight loss goal.
Abdominal fat is a particularly harmful type. Research suggests strong links with diseases like
type 2 diabetes and heart disease (1 ).
For this reason, losing this fat can have significant benefits for your health and well-being.
Health, Diet & Exercise, Dr M D Mohire, Kolhapur, Maharashtra, INDIA.Mahavir Mohire
This document discusses various topics related to health, diet, and exercise. It provides definitions of health from WHO and describes how healthy habits developed everyday can help maintain good health. It then discusses topics like obesity, metabolic syndrome, cardiovascular diseases, diabetes, hypertension, and lifestyle factors like physical inactivity and stress that can negatively impact health. It provides recommendations for maintaining a healthy diet and lifestyle to reduce the risk of non-communicable diseases.
Excess sugar consumption, particularly from sugary drinks, may be the primary driver of excess abdominal and liver fat according to studies. Eating plenty of protein can boost metabolism and reduce hunger, making it an effective way to lose weight, especially abdominal fat. Cutting carbs is shown to reduce abdominal fat around organs and liver more than other diets. Soluble fiber intake may lead to reduced belly fat by slowing digestion and reducing appetite. Exercise through activities like walking and swimming can allow major reductions in abdominal fat. Tracking food intake periodically can help identify areas for dietary changes.
The document discusses various topics related to health, diet, and exercise. It defines health according to the WHO as not just the absence of disease but a state of physical, mental and social well-being. It emphasizes that healthy habits practiced daily are important for staying healthy. It also discusses obesity, metabolic syndrome, cardiovascular disease, diabetes, and hypertension as major health issues. It provides definitions for BMI and metabolic syndrome. Finally, it stresses the importance of physical activity, nutrition, managing stress, and maintaining a healthy lifestyle for overall health and wellness.
Weight gain and physical activity in mid life !Maninder Ahuja
life style modifications are the main stay of our holistic approach to health through out our life but many of us are ignorant about this and don't know what is right and wrong .This presentation is a step towards that.
This document provides an overview of nutritional assessment. It discusses the goals of assessment as identifying malnutrition, obesity, and devising treatment plans. Assessment includes clinical history, physical exam, screening tools, anthropometrics, lab tests, and body composition analysis. Specific assessment measures are described in detail such as the subjective global assessment screening tool, body mass index, serum proteins, and creatinine tests. The document provides reference values and factors that influence various assessment markers.
1) Obesity is a medical condition where excess body fat has accumulated to the point of negatively impacting health or increasing health risks.
2) It is caused by consuming more calories than burned through physical activity and can be influenced by genetic and environmental factors like lack of exercise, diet, medication, and psychiatric illness.
3) Obesity increases the risk of diseases like heart disease, diabetes, cancer, and breathing problems during sleep and can reduce life expectancy. Maintaining a healthy weight through diet and exercise can help prevent and treat obesity.
This document discusses obesity, overweight, and maintaining a healthy weight. It defines obesity and overweight, examines the health risks of excess weight, and identifies factors that contribute to obesity like calorie intake, heredity, and sedentary lifestyles. The document also explores methods of measuring body composition, such as BMI and body fat percentage. It outlines strategies for weight management, including lifestyle changes like diet and exercise, as well as surgical and pharmaceutical interventions. Finally, the document discusses eating disorders and provides tips for healthy eating and weight loss.
power point presentation on obesity by Rajeshwaree Netha (Doctor of pharmacy).
contents included are Introduction,pathophyisiology,clinical presentation (signs and symptoms of obesity disorder) ,Treatment,goals of treatment, general approach, Pharmacological treatment, and Evaluation of therapeutic outcomes.
Abdominal fat is a particularly harmful type. Research suggests strong links with diseases like type 2 diabetes and heart disease (1Trusted Source).
For this reason, losing this fat can have significant benefits for your health and well-being.
You can measure your abdominal fat by measuring the circumference around your waist with a tape measure. Measures of above 40 inches (102 cm) in men and 35 inches (88 cm) in women are known as abdominal obesity (2).
Certain weight loss strategies can target the fat in the belly area more than other areas of the body.
GEM Obesity & Diabetes Surgery Center is now the proud recipient of South India's FIRST & ONLY Bariatric Surgery Center of Excellence (BSCOE) designation in India. Also, Dr. Praveen Raj is the only surgeon in south India to be branded as the Bariatric Surgeon of Excellence in this part of the globe. This validates our enduring commitment to provide the safest and highest quality of care to our patient population.
International Excellence federation is an Organisation formed by 30 members from all over the Asia Pacific with expertise in the management of Obesity & associated diseases. It includes centres from China, Taiwan, Japan, Australia, Thailand, Singapore, Hong Kong and India. Four centres from India were invited to be a part of this (2 from Pune, one from Mumbai), with GEM OBESITY & DIABETES SURGERY CENTRE being the only centre from the South India invited to a part of this federation.
Also, considering the expertise, GEM OBESITY & DIABETES SURGERY CENTRE was also recognized as the only training centre of the Federation to offer training for surgeons in the field of Bariatric Surgery in the Asia Pacific.
The Utah Center for Minimally Invasive and Bariatric Surgery Weight Loss BinderMedSitez
The document provides information for patients after bariatric surgery, including details about the first night in the hospital after surgery involving IV pain medication and being NPO, starting a clear liquid diet the next day and following discharge instructions focused on diet, exercise, follow-up care and medications. It also outlines expectations for activity in the hospital like using an incentive spirometer, getting out of bed, and sitting up to promote recovery.
SILS – Single Incision Laparoscopy Surgery involves making a single incision in the belly button to perform minimally invasive surgery using a laparoscope. It has advantages over traditional open surgery and laparoscopic surgery such as less scarring and faster recovery. The surgery allows removal of organs like the kidney or repair of the urinary tract through the single incision and additional small incisions around the belly button.
This document provides information about obesity surgery and weight loss surgery. It discusses the history of weight loss surgery, which began in the 1950s with intestinal bypass surgery. It evolved to include vertical banded gastroplasty in the 1960s and Roux-en-Y gastric bypass surgery. The document also examines the causes of obesity, including genetics, lifestyle, illness, and psychology. Finally, it outlines the criteria for being a candidate for weight loss surgery, including having a body mass index of 35 or higher and unsuccessful attempts at losing weight through diet and exercise.
This document provides an overview of obesity surgery. It discusses the history of weight loss surgery, from early intestinal bypass procedures in the 1950s to modern techniques like gastric bypass. It outlines some of the common causes of obesity, including genetics, lifestyle factors, and certain health conditions. The document also examines the health risks of carrying excess weight and being obese. Overall, the document serves as an introduction to obesity surgery, its development over time, and factors that can contribute to weight gain.
This document provides an overview of obesity surgery (also known as bariatric or weight loss surgery). It discusses the history and evolution of weight loss surgery, from early intestinal bypass procedures in the 1950s to more modern stapling and banding procedures and the Roux-en-Y gastric bypass. It notes that while early surgeries had many complications, modern laparoscopic procedures are much safer but require lifelong commitment. The document also examines the causes of obesity, including genetics, lifestyle factors, and medical conditions exacerbated by excess weight. Overall, it aims to educate readers on the options and process of weight loss surgery.
This document provides an overview of obesity surgery (also known as bariatric or weight loss surgery). It discusses the history and evolution of weight loss surgery, from early intestinal bypass procedures in the 1950s to more modern stapling and banding procedures and the Roux-en-Y gastric bypass. It notes that while early surgeries had many complications, modern laparoscopic procedures are much safer but require lifelong commitment. The document also examines the causes of obesity, including genetics, lifestyle factors, and medical conditions exacerbated by excess weight. Overall, it aims to educate readers on the options and process of weight loss surgery.
This document discusses bariatric surgery as a treatment for obesity, diabetes, and hypertension - known as the "dangerous triad". It outlines the obesity epidemic globally and in India. Bariatric surgery is presented as the most effective long-term treatment, as other options like diet, exercise, and medication often only achieve temporary weight loss. The document describes various bariatric surgical procedures and their mechanisms for weight loss and resolving comorbidities. Case studies are presented demonstrating successful weight loss and comorbidity resolution through bariatric surgery. Risks are low but include leaks, strictures, and potential for weight regain. A multidisciplinary team approach is emphasized for best outcomes.
This document discusses the pathogenesis, diagnosis, and treatment of morbid obesity. It covers the chronic disease management model for primary care of patients with overweight and obesity. Key aspects include calculating BMI, assessing weight-related risks, setting weight loss and lifestyle goals, and referring patients for bariatric surgery if appropriate. The document also describes various bariatric surgery procedures like gastric banding, gastric bypass, sleeve gastrectomy, and duodenal switch. It provides details on patient selection, pre- and post-operative care, outcomes, and complications of these procedures.
The document discusses obesity as a global health issue and in Bangladesh specifically. It provides statistics on the prevalence of obesity worldwide and in Bangladesh. It describes the health risks of obesity like hypertension, diabetes, and early death. The summary also discusses ways to measure obesity, including BMI and waist circumference. Lifestyle changes like diet modification and increased physical activity are recommended as the first-line approach for obesity management.
Effective treatment for obesity in Mindheal Homeopathy clinic ,Chembur, Mum...Shewta shetty
"Obesity- Obesity refers to excessive fat accumulation in the body. Mindheal homeopathy induces the patient to make a dietary and lifestyle changes to control obesity"/>
Obesity is a medical condition defined as excess body fat accumulation that increases health risks. It is caused by genetic and environmental factors like diet, lifestyle, and certain medical conditions. Symptoms include diabetes, high blood pressure, sleep apnea, joint problems, and increased cancer risk. Treatment involves lifestyle changes like diet modification and exercise, medications to suppress appetite or increase metabolism, and sometimes surgery for severe cases if other methods fail. Homeopathic treatment addresses underlying causes and emphasizes lifestyle and dietary disciplines.
Bariatric surgery – improving life, longterm.Jia Maheshwari
Going under the scalpel, may be the last resort for some obese people but it certainly has many advantages besides losing weight and increased self-esteem. Sleep apnea can be driven away too. Ditto for depression, anxiety and scores of other mindblocks in daily life situations which require interacting and networking with people.
The document discusses treatment options for obesity, including bariatric surgery, pharmacotherapy, and lifestyle modifications. It outlines several severe health risks of obesity like type 2 diabetes, hypertension, and sleep apnea. Bariatric surgery procedures like Roux-en-Y gastric bypass and vertical sleeve gastrectomy can result in 30-35% weight loss but require long-term follow-up. Pharmacotherapy options include appetite suppressants and drugs that reduce nutrient absorption, and are meant to augment lifestyle changes. Behavioral modifications focusing on nutrition, activity and therapy are also important to manage obesity long-term.
This document discusses obesity and bariatric surgery as a treatment option. It notes that obesity is a global epidemic that causes numerous health issues like diabetes, high blood pressure, cancer, and early death. Bariatric surgery is presented as an effective treatment when diet and exercise have not worked for those with a BMI over 32.5 and obesity-related diseases, or a BMI over 37.5 without diseases. The document outlines different surgery options and explains how they work to restrict eating and alter hunger hormones to promote significant weight loss of 60-80% of excess weight. It highlights the health benefits of surgery like curing diabetes in 80% of patients and reducing risks of death, high blood pressure, infertility and more.
Weight loss surgery - is it the right choice? By TruweightTruweight
If you think that you are too busy to follow a healthy way to lose weight then you need to at least consider the risks associated with Weight Loss Surgeries and their side effects.
Effective treatment for obesity in Mindheal Homeopathy clinic ,Chembur, Mum...Shewta shetty
"Obesity- Obesity refers to excessive fat accumulation in the body. Mindheal homeopathy induces the patient to make a dietary and lifestyle changes to control obesity"/>
Obesity Surgery India | Bariatric Surgery Indiaanan adisa
Obesity surgery procedures like gastric bypass and sleeve gastrectomy can help treat obesity and related health conditions by restricting food intake or reducing nutrient absorption. The document discusses various bariatric surgery options, how to prepare for surgery, expected benefits and risks, and the significantly lower costs of these procedures in India compared to other countries. It also shares testimonials from patients who successfully underwent obesity surgery through an Indian healthcare provider and were able to extend their quality of life.
ABDOMINAL TRAUMA in pediatrics part one.drhasanrajab
Abdominal trauma in pediatrics refers to injuries or damage to the abdominal organs in children. It can occur due to various causes such as falls, motor vehicle accidents, sports-related injuries, and physical abuse. Children are more vulnerable to abdominal trauma due to their unique anatomical and physiological characteristics. Signs and symptoms include abdominal pain, tenderness, distension, vomiting, and signs of shock. Diagnosis involves physical examination, imaging studies, and laboratory tests. Management depends on the severity and may involve conservative treatment or surgical intervention. Prevention is crucial in reducing the incidence of abdominal trauma in children.
Integrating Ayurveda into Parkinson’s Management: A Holistic ApproachAyurveda ForAll
Explore the benefits of combining Ayurveda with conventional Parkinson's treatments. Learn how a holistic approach can manage symptoms, enhance well-being, and balance body energies. Discover the steps to safely integrate Ayurvedic practices into your Parkinson’s care plan, including expert guidance on diet, herbal remedies, and lifestyle modifications.
NVBDCP.pptx Nation vector borne disease control programSapna Thakur
NVBDCP was launched in 2003-2004 . Vector-Borne Disease: Disease that results from an infection transmitted to humans and other animals by blood-feeding arthropods, such as mosquitoes, ticks, and fleas. Examples of vector-borne diseases include Dengue fever, West Nile Virus, Lyme disease, and malaria.
Recomendações da OMS sobre cuidados maternos e neonatais para uma experiência pós-natal positiva.
Em consonância com os ODS – Objetivos do Desenvolvimento Sustentável e a Estratégia Global para a Saúde das Mulheres, Crianças e Adolescentes, e aplicando uma abordagem baseada nos direitos humanos, os esforços de cuidados pós-natais devem expandir-se para além da cobertura e da simples sobrevivência, de modo a incluir cuidados de qualidade.
Estas diretrizes visam melhorar a qualidade dos cuidados pós-natais essenciais e de rotina prestados às mulheres e aos recém-nascidos, com o objetivo final de melhorar a saúde e o bem-estar materno e neonatal.
Uma “experiência pós-natal positiva” é um resultado importante para todas as mulheres que dão à luz e para os seus recém-nascidos, estabelecendo as bases para a melhoria da saúde e do bem-estar a curto e longo prazo. Uma experiência pós-natal positiva é definida como aquela em que as mulheres, pessoas que gestam, os recém-nascidos, os casais, os pais, os cuidadores e as famílias recebem informação consistente, garantia e apoio de profissionais de saúde motivados; e onde um sistema de saúde flexível e com recursos reconheça as necessidades das mulheres e dos bebês e respeite o seu contexto cultural.
Estas diretrizes consolidadas apresentam algumas recomendações novas e já bem fundamentadas sobre cuidados pós-natais de rotina para mulheres e neonatos que recebem cuidados no pós-parto em unidades de saúde ou na comunidade, independentemente dos recursos disponíveis.
É fornecido um conjunto abrangente de recomendações para cuidados durante o período puerperal, com ênfase nos cuidados essenciais que todas as mulheres e recém-nascidos devem receber, e com a devida atenção à qualidade dos cuidados; isto é, a entrega e a experiência do cuidado recebido. Estas diretrizes atualizam e ampliam as recomendações da OMS de 2014 sobre cuidados pós-natais da mãe e do recém-nascido e complementam as atuais diretrizes da OMS sobre a gestão de complicações pós-natais.
O estabelecimento da amamentação e o manejo das principais intercorrências é contemplada.
Recomendamos muito.
Vamos discutir essas recomendações no nosso curso de pós-graduação em Aleitamento no Instituto Ciclos.
Esta publicação só está disponível em inglês até o momento.
Prof. Marcus Renato de Carvalho
www.agostodourado.com
Histololgy of Female Reproductive System.pptxAyeshaZaid1
Dive into an in-depth exploration of the histological structure of female reproductive system with this comprehensive lecture. Presented by Dr. Ayesha Irfan, Assistant Professor of Anatomy, this presentation covers the Gross anatomy and functional histology of the female reproductive organs. Ideal for students, educators, and anyone interested in medical science, this lecture provides clear explanations, detailed diagrams, and valuable insights into female reproductive system. Enhance your knowledge and understanding of this essential aspect of human biology.
Here is the updated list of Top Best Ayurvedic medicine for Gas and Indigestion and those are Gas-O-Go Syp for Dyspepsia | Lavizyme Syrup for Acidity | Yumzyme Hepatoprotective Capsules etc
8 Surprising Reasons To Meditate 40 Minutes A Day That Can Change Your Life.pptxHolistified Wellness
We’re talking about Vedic Meditation, a form of meditation that has been around for at least 5,000 years. Back then, the people who lived in the Indus Valley, now known as India and Pakistan, practised meditation as a fundamental part of daily life. This knowledge that has given us yoga and Ayurveda, was known as Veda, hence the name Vedic. And though there are some written records, the practice has been passed down verbally from generation to generation.
TEST BANK For Community Health Nursing A Canadian Perspective, 5th Edition by...Donc Test
TEST BANK For Community Health Nursing A Canadian Perspective, 5th Edition by Stamler, Verified Chapters 1 - 33, Complete Newest Version Community Health Nursing A Canadian Perspective, 5th Edition by Stamler, Verified Chapters 1 - 33, Complete Newest Version Community Health Nursing A Canadian Perspective, 5th Edition by Stamler Community Health Nursing A Canadian Perspective, 5th Edition TEST BANK by Stamler Test Bank For Community Health Nursing A Canadian Perspective, 5th Edition Pdf Chapters Download Test Bank For Community Health Nursing A Canadian Perspective, 5th Edition Pdf Download Stuvia Test Bank For Community Health Nursing A Canadian Perspective, 5th Edition Study Guide Test Bank For Community Health Nursing A Canadian Perspective, 5th Edition Ebook Download Stuvia Test Bank For Community Health Nursing A Canadian Perspective, 5th Edition Questions and Answers Quizlet Test Bank For Community Health Nursing A Canadian Perspective, 5th Edition Studocu Test Bank For Community Health Nursing A Canadian Perspective, 5th Edition Quizlet Test Bank For Community Health Nursing A Canadian Perspective, 5th Edition Stuvia Community Health Nursing A Canadian Perspective, 5th Edition Pdf Chapters Download Community Health Nursing A Canadian Perspective, 5th Edition Pdf Download Course Hero Community Health Nursing A Canadian Perspective, 5th Edition Answers Quizlet Community Health Nursing A Canadian Perspective, 5th Edition Ebook Download Course hero Community Health Nursing A Canadian Perspective, 5th Edition Questions and Answers Community Health Nursing A Canadian Perspective, 5th Edition Studocu Community Health Nursing A Canadian Perspective, 5th Edition Quizlet Community Health Nursing A Canadian Perspective, 5th Edition Stuvia Community Health Nursing A Canadian Perspective, 5th Edition Test Bank Pdf Chapters Download Community Health Nursing A Canadian Perspective, 5th Edition Test Bank Pdf Download Stuvia Community Health Nursing A Canadian Perspective, 5th Edition Test Bank Study Guide Questions and Answers Community Health Nursing A Canadian Perspective, 5th Edition Test Bank Ebook Download Stuvia Community Health Nursing A Canadian Perspective, 5th Edition Test Bank Questions Quizlet Community Health Nursing A Canadian Perspective, 5th Edition Test Bank Studocu Community Health Nursing A Canadian Perspective, 5th Edition Test Bank Quizlet Community Health Nursing A Canadian Perspective, 5th Edition Test Bank Stuvia
Does Over-Masturbation Contribute to Chronic Prostatitis.pptxwalterHu5
In some case, your chronic prostatitis may be related to over-masturbation. Generally, natural medicine Diuretic and Anti-inflammatory Pill can help mee get a cure.
1. Dr. Upendra Reddy Marreddy (MS, FRCS)
Consultant Bariatric & Upper GI Surgeon
Weight Loss (Bariatric) Surgery
2. 2www.upendrareddy.com
Dr. Upendra Reddy Marreddy
• Surgical Experience
– Highly experienced Obesity and Gastrointestinal surgeon who worked as
consultant Upper GI surgeon in Greater London, with 10 years experience
of more than 1500 bariatric operations and 10000 GI surgeries.
• Surgical Training
– Senior Bariatric Fellow from Homerton Bariatric surgery unit (2years)
– Specialist Registrar in Gastrointestinal, Bariatric & General surgery from
London Deanery hospitals (5 years),
– All India Institute of medical sciences- New Delhi (Junior & Senior
Residency-6 yr.).
• Research
– Research fellow and Lecturer in Surgery from Barts and The London
Medical School
– Presented Papers: 10 @ IFSO Hamburg Germany, 5 @ Bristol BOMSS, 10 @
IFSO New Delhi, 3 @ DDW New Orleans (USA), DDW Washington (USA)
4. 4www.upendrareddy.com
What is Obesity?
• Obesity: Obesity is excess fat accumulation, 20% or more over an
individual's ideal body weight. It is associated with increased risk of
illness, disability, and death.
• Morbid Obesity: Overweight by over 30 kgs. Or using Body Mass
Index (BMI) i.e. Weight(kg)/Height(m)2 of 37 or higher
5. Obesity in India
• Obesity has reached epidemic proportions in India, 5% of overall
population is affected by Morbid Obesity
• They are GENETICALLY prone to waist circumference increase-
scientists have discovered single nucleotide polymorphism named
rs12970134s.
• Amongst the states, AP males are ranked as 5th most obese overall
in India, as far as females they are rated 10th obese amongst the
states
7. 7www.upendrareddy.com
Medical and Health Implications
• With BMI > 30
– 70% increased chances of coronary artery disease
– 75% increased chances of stroke
– 400% increased chances of diabetes
– 55% increased chances of mortality
8. 8www.upendrareddy.com
Co-Morbidities with Obesity
Pulmonary disease
abnormal function
obstructive sleep apnea
hypoventilation syndrome
Nonalcoholic fatty liver
disease
steatosis
steatohepatitis
cirrhosis
Coronary heart disease
Diabetes
Dyslipidemia
Hypertension
Gynecologic abnormalities
abnormal menses
infertility
polycystic ovarian syndrome
Osteoarthritis
Skin
Gall bladder disease
Cancer
breast, uterus, cervix
colon, esophagus, pancreas
kidney, prostate
Phlebitis
venous stasis
Gout
Idiopathic intracranial
hypertension
Severe pancreatitis
9. 9www.upendrareddy.com
What are the Options?
1. Diet, Exercise, Behavioral Changes
up to 10% loss of excess body weight
ineffective long-term, less than 5% sustain
significant weight loss
2. Weight Loss Drugs
minimal sustained weight loss
side effects prevent long-term use
3. Weight-Loss Surgery
55 to 75% loss of excess body weight
10. 10www.upendrareddy.com
Who qualifies for weight loss surgery?
Normal Weight
(BMI 18.5 to 22.9)
Overweight
(BMI 23 to 24.9)
Obese
(BMI >25)
Severely Obese
(BMI 32.5 to 37 )
Morbidly Obese
(BMI >37.5 )
BMI 18.5-22.9 BMI 23-24.9 BMI >25 BMI 32-37 BMI>37.5
11. 11www.upendrareddy.com
Bariatric Surgery is an Option if:
• 20-30 kgs above your Ideal Body Weight
• Body Mass Index:
– 32.5 or greater with co-morbidities
– 37.5 or greater even without any co-morbidities
• Age of 18 to 65+ (assessed on individual basis)
• Failed attempts at weight loss
• Health complications related to obesity
• No psychological contraindications
• Understanding of the surgery/risks
• Compliance with diet/exercise requirements
12. Bariatric Surgery is NOT Liposuction
www.upendrareddy.com 12
• Liposuction is purely cosmetic
surgery that aims to produce
an attractive body-shape.
• Although liposuction might
seem attractive, it does not
achieve the results in
improved health and durable
weight loss.
• Liposuction is performed by
Plastic/Cosmetic Surgeons.
• Bariatric surgery, however, is a
stomach operation which
reduces caloric intake and the
way fat is deposited.
• Bariatric surgery can achieve a
sustained and lasting weight
loss for the treatment of
morbid obesity.
• Bariatric surgery helps
improve health and increase
the life-span.
• Bariatric surgery is performed
by Bariatric Surgeons.
18. Vertical Sleeve Gastrectomy (VSG)
Advantages Disadvantages
www.upendrareddy.com 18
• No Malabsorption – No
micronutrient deficiency
• No Strictures ? No Marginal
Ulcerations ?
• Maintains oral access to GI
and Biliary tract
• Creates restriction more than
obstruction
• Lesser Follow up
• Non-adjustable
• Irreversible
20. Roux-en-Y Gastric Bypass (RYGB)
Advantages Disadvantages
www.upendrareddy.com 20
• Rapid initial weight loss
• Time tested, proven efficacy
• Best for metabolic
abnormalities such as
diabetes, Hyperlipidaemia etc.
• Stomach cutting, stapling and
intestinal re-routing required
• Portion of digestive tract is
bypassed, resulting in
nutritional deficiencies- easily
managed by two pills a day
• “Dumping syndrome” can
occur- sensible choice of foods
and eating habits prevent this
• Non-adjustable
• Difficult to reverse! Very
expensive!
21. 21www.upendrareddy.com
How much Weight Loss?
• Depends on the surgery and the follow-up
• 75% of excess weight with Gastric bypass at the end of one year
• 45% of excess weight with Band but increases to 65% at 2-3 year
follow up with adjustments
• Amount of weight loss varies from person to person
• Must be compliant with follow-up!!!!!
22. 22www.upendrareddy.com
Possible Risks and Complications
• These will be discussed during the first appointment.
• With the experience and skill at hand, these surgeries post no more
risk in my hands than common surgical procedures, such as Gall
Bladder removal surgery.
23. 23www.upendrareddy.com
Life After Surgery
• Lifestyle Change
• Diet Restrictions (Type, speed, Consistency, Volume)
• Vitamins and Medication
• Regular Follow-Ups
• Exercise
24. People who are not successful?
www.upendrareddy.com 24
• Go back to old eating habits
• Avoid exercise
• Eat high fat diet
• Eat High caloric diet
• Graze, Snack
• Drink “regular” soft drinks or
high calorie beverages (ex.
Juice, alcohol)
25. People who are successful
www.upendrareddy.com 25
• Change lifestyle
• Change eating habits
• Are physically active
• Exercise daily
• Follow new diet
• Follow up with their doctor as
advised
26. 26www.upendrareddy.com
Good News
• Weight Loss
• Improved Self Esteem
• Improvement in co-morbidities
– Diabetes
– Hypertension
– Hyperlipidaemia
– Sleep apnoea
• Improved Quality of Life
27. Thank You
Dr. Upendra Reddy Marreddy (MS, FRCS)
Phone: +91 8790077333
Email: u.marreddy@gmail.com
Website: www.upendrareddy.com
Facebook: facebook.com/upendramarreddy
Editor's Notes
A band goes around the top of the stomach.Intestines are not operated on.Performed with the a laparoscope.(telescope) A port is placed under the skin.Saline can be added or withdrawn from the Band depending on speed of weight loss and symptoms.
A band goes around the top of the stomach.Intestines are not operated on.Performed with the a laparoscope.(telescope) A port is placed under the skin.Saline can be added or withdrawn from the Band depending on speed of weight loss and symptoms.
This procedure is carried out through key hole cuts using laparoscopic methods80% of stomach is removedThe remaining stomach has the capacity of less than a glass
A band goes around the top of the stomach.Intestines are not operated on.Performed with the a laparoscope.(telescope) A port is placed under the skin.Saline can be added or withdrawn from the Band depending on speed of weight loss and symptoms.
A band goes around the top of the stomach.Intestines are not operated on.Performed with the a laparoscope.(telescope) A port is placed under the skin.Saline can be added or withdrawn from the Band depending on speed of weight loss and symptoms.