Bariatric Surgery

Bariatric Surgery - Weight Loss Surgery: Weight The First...

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Weight Loss Surgery: Weight Loss Surgery: The First Step Toward a More Healthy Life The First Step Toward a More Healthy Life
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Pre-operative Medications Post-operative Medications
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Defining the Problem Defining the Problem
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The Problem The Problem Prevalence of obesity in U.S. increased from 12% to 21% between 1991 and 2001 = 15 million people Obesity is the 2 nd most common cause of death from a modifiable behavioral risk factor 111,909 excess deaths annually Mokdad AH et al. JAMA. 2003;289:76-79 Flegal KM et al. JAMA 2005;293:1861-1919
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Excess U.S. Medical Costs Related Excess U.S. Medical Costs Related to Abnormal Body Weight to Abnormal Body Weight Int J Obesity 2005;29:334-339
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Diabetes Gall bladder disease Hypertension Dyslipidemia Insulin resistance Breathlessness Sleep apnea Greatly increased (relative risk >>3) Coronary heart disease Osteoarthritis (knees) Hyperuricemia and gout Cancer (breast cancer in postmenopausal women, endometrial cancer, colon cancer) Reproductive hormone abnormalities Polycystic ovary syndrome Impaired fertility Low back pain Increased anesthetic risk Fetal defects arising from maternal obesity Moderately increased (relative risk 2-3) Slightly increased (relative risk 1-2) Relative risk of health problems associated with obesity
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1 Chan JM et al. Diabetes Care 1994;17:961-969; 2 Colditz G et al. Ann Intern Med 1995;122:481-486. Age-adjusted relative risk of type 2 diabetes
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This note was uploaded on 12/27/2011 for the course STEP 1 taught by Professor Dr.aslam during the Fall '11 term at Montgomery College.

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Bariatric Surgery - Weight Loss Surgery: Weight The First...

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