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Nutricion Hospitalaria 1995Bariatric surgery is done on a selected, ill patient (morbid obesity), with a surgical risk which is intrinsic to his condition and morbidity. The results on any program... (Review)
Review
Bariatric surgery is done on a selected, ill patient (morbid obesity), with a surgical risk which is intrinsic to his condition and morbidity. The results on any program are more a function of the adequate selection, information and control, than of the surgical model itself. The first 125 patients of the present surgical series have been reviewed, with a minimum of 18 months of follow up, and the complications are detailed, with emphasis on the compulsory and necessary radiological evaluation in the immediate post-operative period, during the follow up, and in the face of any complication. The effectiveness criteria of the technique and the real value of the weight loss are reevaluated, as well as defining the criteria of failure of surgical treatment. Finally, we end with an up dating of the psychological results observed, as well justifying the need for a bariatric surgery protocol, with its ethical-legal implications. The final conclusion is that bariatric surgery shall only be clinically and ethically accepted if it complies with the principles for which it was designed.
Topics: Anthropometry; Clinical Protocols; Female; Follow-Up Studies; Humans; Informed Consent; Male; Obesity, Morbid; Postoperative Complications; Weight Loss
PubMed: 8599616
DOI: No ID Found -
Journal of Wound, Ostomy, and...The epidemic of obesity and morbid obesity is straining the American health care system's ability to provide quality patient care. Patients with Class 3 (also referred... (Review)
Review
The epidemic of obesity and morbid obesity is straining the American health care system's ability to provide quality patient care. Patients with Class 3 (also referred to as morbid or severe) obesity require specialized equipment, unique approaches in the delivery of care, and understanding of the biopsychosocial pathophysiologic mechanisms underlying their condition. This article defines Class 3 obesity, its pathophysiology, and discusses issues that arise when providing quality care of these individuals including safe patient handling, right-sized equipment, and empathetic interpersonal care. We also discuss skin and wound care issues associated with Class 3 obesity.
Topics: Humans; United States; Obesity, Morbid; Patients
PubMed: 37713346
DOI: 10.1097/WON.0000000000001010 -
Zentralblatt Fur Chirurgie Dec 2002
Topics: Cross-Sectional Studies; Forecasting; Germany; Humans; Obesity, Morbid; Specialties, Surgical
PubMed: 12529811
DOI: 10.1055/s-2002-36372 -
Obesity Surgery May 2005Weight loss is a frequent finding in achalasia because of the difficulty in swallowing. Although manometric findings compatible with achalasia have been found in...
Weight loss is a frequent finding in achalasia because of the difficulty in swallowing. Although manometric findings compatible with achalasia have been found in morbidly obese patients, all of them were asymptomatic. The authors report a case of symptomatic achalasia and morbid obesity in a 38-year-old woman. A mental disorder become manifested after the patient was submitted to an esophageal myotomy and fundoplication. With weight gain, postoperative gastroesophageal reflux developed. Drawbacks of further operative procedures in such a patient are discussed.
Topics: Adult; Chagas Disease; Esophageal Achalasia; Feeding and Eating Disorders; Female; Humans; Obesity, Morbid
PubMed: 15946467
DOI: 10.1381/0960892053923905 -
MMW Fortschritte Der Medizin Jan 2023
Review
Topics: Humans; Heart; Obesity, Morbid; Non-alcoholic Fatty Liver Disease; Myocardial Infarction
PubMed: 36648655
DOI: 10.1007/s15006-023-2257-9 -
Scientific Reports Aug 2016Whether the executive profile is different between obesity (OB) and morbid obesity (MO) remains unclear. Recent evidence suggests that physical activity (PA) can act as... (Clinical Trial)
Clinical Trial
Whether the executive profile is different between obesity (OB) and morbid obesity (MO) remains unclear. Recent evidence suggests that physical activity (PA) can act as a cognitive enhancer. Irisin is a recently discovered hormone associated with some of the positive effects of PA. The objective of the study was to investigate the executive profile in OB and MO, and to explore the role of PA and irisin. 114 participants were included (21 OB, 44 MO and 49 healthy controls-HC) in the study and assessed with the Wisconsin Card Sorting Test, Stroop Color and Word Test, and Iowa Gambling Task. All participants were female, aged between 18 and 60 years. Results showed a similar dysfunctional profile on decision making in OB and MO compared with HC. Thus, no specific neuropsychological profiles between OB and MO can be clearly observed in our sample. However, a negative correlation was found between irisin and executive functioning. These results demonstrate a specific executive profile in OB and a relevant and negative modulation of irisin on executive functioning. Although irisin might be a promising target for the treatment of obesity, its effects on cognition might be considered when thinking about its therapeutic use.
Topics: Adolescent; Adult; Decision Making; Exercise; Female; Fibronectins; Humans; Middle Aged; Obesity, Morbid
PubMed: 27476477
DOI: 10.1038/srep30820 -
Gastroenterology May 2006
Comparative Study Review
Topics: Bariatric Surgery; Body Mass Index; Comorbidity; Fatty Liver; Female; Humans; Incidence; Insulin Resistance; Male; Obesity, Morbid; Prognosis; Risk Assessment
PubMed: 16697746
DOI: 10.1053/j.gastro.2006.03.041 -
The Surgical Clinics of North America Aug 2016
Topics: Bariatric Surgery; Humans; Obesity, Morbid
PubMed: 27473808
DOI: 10.1016/j.suc.2016.06.004 -
Medsurg Nursing : Official Journal of... Apr 2002Obesity is one of the nation's most serious health problems. When individuals are overweight, they are at risk for disease, medical complications, and death. Patients...
Obesity is one of the nation's most serious health problems. When individuals are overweight, they are at risk for disease, medical complications, and death. Patients are considered morbidly obese or bariatric when their weight far exceeds recommended guidelines. Excess weight in these individuals increases morbidity and mortality, and causes numerous care challenges. Nurses caring for bariatric clients should recognize the need to use specialized assessment and management strategies to prevent poor patient outcomes.
Topics: Humans; Nursing Care; Obesity, Morbid; Patient Discharge; Respiration Disorders; Skin Diseases
PubMed: 11962172
DOI: No ID Found -
Southern Medical Journal Aug 2010
Topics: Adult; Bariatric Surgery; Child; Humans; Obesity; Obesity, Morbid
PubMed: 20622715
DOI: 10.1097/SMJ.0b013e3181e8e65e