Gastric Plication A New Technique in Management of Morbid Obesity
Hossam Gamal El-Din Radwan;
Abstract
There is a worldwide epidemic of overweight, obesity and morbid obesity encompassing near 2 billion people (Monteiro et al ,2004).
Obesity means having too much body fat. It is not the same as being overweight, which means weighing too much. A person may be overweight from extra muscle, bone, or water, as well as from having too much fat.Both terms mean that a person's weight is higher than what is thought to be healthy for his or her height (Richards andSchirmer,2007).
Obesity is associated with increased morbidity and mortality. Morbidity appears with hypertension, lipid disturbances, non-alcoholic steatohepatitis, obstructive sleep apnea and polycystic ovary syndrome, insulin resistance and diabetes. These comorbidities are responsible for more than 2.5 millions deaths per year worldwide with mortality rate twelve times than that in young normal weight men (Bray,2004).
Nonsurgical approaches to weight loss have had limited long-term efficacy for the treatment of morbid obesity (Buchwald et al,2004).
Bariatric surgical procedures have proved a much more successful weight loss and diabetes control in the obese population than conservative methods. These surgical procedures have proved to be safe with reported mortality rates of 0% to 1.5% (Shaw et al,2010).
For patients in whom other methods of weight reduction have failed, bariatric surgery is considered if the body mass index is greater than 40 kg/m2 or greater than 35 kg/m2 with the presence of associated comorbidities (Herron,2004).
Bariatric surgical procedures are categorized into 2 main types; restrictive and malabsorptive. Some operations combine both restriction and malabsorption. The operations that are most frequently performed are the Roux-en-Y gastric bypass, vertical banded gastroplasty, biliopancreatic diversion, and various banding procedures (Buchwald et al,2004).
The era of minimally invasive surgery has brought significant advantages to morbidly obese patients undergoing bariatric surgery (Higa et al,2000).
Obesity means having too much body fat. It is not the same as being overweight, which means weighing too much. A person may be overweight from extra muscle, bone, or water, as well as from having too much fat.Both terms mean that a person's weight is higher than what is thought to be healthy for his or her height (Richards andSchirmer,2007).
Obesity is associated with increased morbidity and mortality. Morbidity appears with hypertension, lipid disturbances, non-alcoholic steatohepatitis, obstructive sleep apnea and polycystic ovary syndrome, insulin resistance and diabetes. These comorbidities are responsible for more than 2.5 millions deaths per year worldwide with mortality rate twelve times than that in young normal weight men (Bray,2004).
Nonsurgical approaches to weight loss have had limited long-term efficacy for the treatment of morbid obesity (Buchwald et al,2004).
Bariatric surgical procedures have proved a much more successful weight loss and diabetes control in the obese population than conservative methods. These surgical procedures have proved to be safe with reported mortality rates of 0% to 1.5% (Shaw et al,2010).
For patients in whom other methods of weight reduction have failed, bariatric surgery is considered if the body mass index is greater than 40 kg/m2 or greater than 35 kg/m2 with the presence of associated comorbidities (Herron,2004).
Bariatric surgical procedures are categorized into 2 main types; restrictive and malabsorptive. Some operations combine both restriction and malabsorption. The operations that are most frequently performed are the Roux-en-Y gastric bypass, vertical banded gastroplasty, biliopancreatic diversion, and various banding procedures (Buchwald et al,2004).
The era of minimally invasive surgery has brought significant advantages to morbidly obese patients undergoing bariatric surgery (Higa et al,2000).
Other data
| Title | Gastric Plication A New Technique in Management of Morbid Obesity | Other Titles | طىّ المعدة جراحة جديدة لعلاج السمنة المفرطة | Authors | Hossam Gamal El-Din Radwan | Issue Date | 2014 |
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