Table of contents
- 1. Obesity
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Obesity
- Class III Obesity BMI ≥ 40
- Class II Obesity BMI 35.0-39.9
- Class I Obesity BMI up to 35.0
- Indications for Bariatric Surgery
- Age 18-70yo (recently extended to 70)
- BMI ≥ 40
- BMI 35-40 + comorbidities (such as diabetes, hypertension, arthritis limiting daily function, and cardiopulmonary failure)
- BMI 30-35 -> can be considered, but usually not.
- Must have tried to lose weight by other means
- Must be evaluated by medical, surgical, psychiatric, and nutritional teams.
- Most common procedure is gastric bypass, but banding becoming common.
- Medications:
- Orlistat
- Phentermine - sympathomimetic drug FDA-approved for short-term use (<12 weeks) as adjunctive treatment of obesity.
- Patients appear to re-gain weight after discontinuation.
- Low calorie diet
- Calculate kcal/d required to maintain weight, and subtract 500-1000kcal/day.
- Very low calorie diet (< 800 kcal/day) is almost impossible to maintain in long term.
- Source:
- J Clin Endocrinol Metab. 2008 Nov; 93(11 Suppl 1): S89–S96.
- Link: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2729256/
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