Surgery for Obesity
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Obesity
Complications of Obesity
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Here you will find what we think is the most comprehensive site on obesity and overweight on the Internet. Obesity is not a simple condition of eating too much. It is now recognized that obesity is a serious, chronic disease. No human condition — not race, religion, gender, ethnicity or disease state — compares to obesity in prevalence and prejudice, mortality and morbidity, sickness and stigma. Decrease in health care costs result with obseity surgery.
* Read the abstract from the research study, The Impact of Weight Reduction Surgery on Health-Care Costs in Morbidly Obese Patients by JS Stampalis and colleagues
www.obesity.org

The American Society for Bariatric Surgery, based in Gainesville, said 140,000 people in the United States had some sort of weight-loss surgery last year, most of them gastric bypass -- reducing the size of the stomach to limit food intake. The number has grown by about 50 percent a year since 1998.

Doctors estimate that elderly people make up 1 percent to 2 percent of the total, but they expect that percentage to grow.
A study last year in the Journal of the American Geriatric Society estimated obesity in those age 60 and older will increase from 32 percent in 2000 to 37 percent in 2010.

Many private insurance companies cover bariatric surgery for obesity, finding it cheaper than long-term treatment of obesity-related health problems, such as diabetes and high blood pressure. Cost of the surgery for obesity starts at about $20,000.

Surgical procedures result in weight loss by restricting the size of the stomach or by bypassing a portion of the intestines. Restricting the size of the stomach limits the quantity of food a patient can consume at a single meal. Malabsorptive (bypass) procedures decrease the proportion of nutrients that are absorbed from a meal. Gastric banding achieves weight loss by creating gastric restriction.

Surgical treatment is more effective than nonsurgical treatment for weight loss and the control of some comorbidities in patients with a body mass index of 40 kg/m 2 or greater. More data are needed to confirm or refute the relative efficacy of surgery for less severely obese persons. Perioperative mortality rates of less than 1 percent have been achieved by some surgeons and surgical centers. The perioperative mortality rates in other settings may be higher. Surgical treatment is associated with a substantial number of complications and adverse events, although most of these are minor.
www.ahrq.gov/clinic/epcsums/obesphsum.htm

 

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