Bariatric complications
Recent studies demonstrate that obesity is not just a simple process too many calories. It entails a whole pathophysiologic cascade of mechanisms and alterations in the body and brain. There is some evidence linking obesity to specific genes but it is still unclear.
Treatment continues to involve lifestyle modifications as well as pharmacological treatments. Both of these treatments give an average of 10% weight reduction with limited long term success of keeping the weight off. For the extremely obese patient, this is rarely enough to achieve a healthy body weight.
Bariatric surgery is being performed more frequently than in the past, but it is not without complications. Most studies reveal complication rates ranging from 20-30% and overall, about 18% of patients require ER, outpatient, or hospital admissions to treat these problems.
The bottom line is that it requires a multidisciplinary approach with education, patient motivation, education, dieticians, physicians, medication, and surgical intervention when appropriate for ultimate success.
Our American diet and lifestyle only contribute to the overall problem. Payment for these procedures is becoming more and more controversial.
Treatment continues to involve lifestyle modifications as well as pharmacological treatments. Both of these treatments give an average of 10% weight reduction with limited long term success of keeping the weight off. For the extremely obese patient, this is rarely enough to achieve a healthy body weight.
Bariatric surgery is being performed more frequently than in the past, but it is not without complications. Most studies reveal complication rates ranging from 20-30% and overall, about 18% of patients require ER, outpatient, or hospital admissions to treat these problems.
The bottom line is that it requires a multidisciplinary approach with education, patient motivation, education, dieticians, physicians, medication, and surgical intervention when appropriate for ultimate success.
Our American diet and lifestyle only contribute to the overall problem. Payment for these procedures is becoming more and more controversial.
posted by Anonymous at 6:05 AM
6 Comments:
For an alternative to the controlled bias of this website, see:
www.diogenestrainee.blogspot.com
As always, I welcome opinions and opposition and believe open dialogue is beneficial.
I have only asked that those of you who continue to throw personal attacks state your bias so the readers understand better where your viewpoint originates.
You have been asked for more than a year, yet you will not reveal yourself
What are you hiding?
What is your agenda?
Why do you continue to avoid addressing the real issues but rather keep attacking the messenger?
I've laid my cards on the table for everyone. Why don't you do the same.
There has to be a reason. No one without a personal investment would have done what you are doing.
Your truthfulness falls further into question.
Well I have missed out on whatever drama has taken place. From what I gather an anonymous blogger finally crossed the line. It is a shame, but we can't say HB hasn't warned us many times that he would block the anonymous comments.
I went to diogenstrainee's blog and all I can say is OH BROTHER. I doubt it will last. It is only a site to bash HB without any purpose. HB you are obviously doing something right to have such opposition. I don’t work at the hospital or in human medicine, but I can see the truth clearly and those who can’t now will eventually. The truth always comes out in the end it just takes some people longer to see it.
I don't like the comment moderation, but I understand the reasoning behind it.
I don't know if you are going to post this, but I am remaining anonymous for a reason.
"Our American diet and lifestyle only contribute to the overall problem."
substitute "is" for "only contribute" and throw in poor nutritional advice from MDs.
Sure, there is some genetic component to obesity, but everyone really pussy-foots aroung the individual choice part.
I saw the diogense blog too. It reminded me of an old quote by Winston Churchill...
"I have always felt that a politician is to be judged by the animosities he excites among his opponents".
Keep up the good work, HB.
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