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Laparoscopic Bariatric Procedures |
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Laparoscopic Bariatric Procedures:
Physician Section: Patients Instructions |
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DISCLOSURE DOCUMENTS: SECTION 1
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Definition of Morbid Obesity |
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Patients are morbidly obese if their
weight is more that 100 pounds in excess of the Ideal Body Weight (IBW). An
accurate and standardized method to define morbid obesity is to use the
Body Mass Index (BMI). The BMI is calculated as follows:
BMI = weight (kg)/height (m2)
weight (expressed in kilograms) divided by the square of height (expressed
in meters)
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Obesity Class |
BMI
(Kg/m2) |
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Underweight |
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< 18.5 |
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Normal |
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18.5 -
24.9 |
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Overweight |
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25 -
29.9 |
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Obese |
I |
30 -
34.9 |
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Obese |
II |
35 -
39.9 |
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Morbid Obesity |
III |
>40 |
Morbid Obesity is a disease
as morbidly obese patients have significantly higher rates of associated
medical problems. Although the medical complications of obesity may occur
in moderately, obese individuals, the frequency of these associated medical
problems or co-morbid factors (such as heart disease, high blood pressure,
diabetes, premature death, etc.) increases dramatically as weight increases.
For example, morbidly obese men between the ages of 25-35 have a 12 fold
greater risk of dying prematurely compared to their normal weight
counterparts.
Medical conditions commonly
caused or exacerbated by morbid obesity are as follows:
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Pulmonary
- obstructive sleep apnea, obesity hypoventilation
syndrome, Gastro-esophageal reflux induced asthma or aspiration. |
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Cardiac
- High blood pressure, Coronary Artery Disease, etc. |
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Gastrointestinal, Abdominal
– Gallstones, (usually associated with cyclic weight loss / gain),
Gastro-Esophageal Reflux Disease, Recurrent Ventral Hernias, stress
urinary incontinence,etc. |
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Endocrine
- Diabetes, Menstrual irregularity or infertility, Hirsutism,
Hyperlipidemia, Hypercholesterolemia. |
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Genitourinary, reproductive
– Recurrent Urinary Tract Infections, Stress Urinary Incontinence,
Irregular Menstruation, Infertility, etc. |
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Musculoskeletal
– Degenerative Disorders of the knees and hips, Inter vertebral Disc
Herniation, Low Back Pain, etc. |
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Skin
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Cancer
risk -
Breast, Endometrium, Colon, Prostate. |
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