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Management of Morbid Obesity by Harvey J. Sugerman,Ninh Nguyen Pdf
Edited by world-renowned bariatric surgeons, this comprehensive reference provides a clear overview of multidisciplinary approaches to bariatric surgery and clearly details the techniques and outcomes of commonly performed bariatric operations, potential complications associated with bariatric surgery, and practices in long-term follow-up and nutri
Patients with extreme obesity undergoing surgical procedures need specific perioperative management. This new edition gives clear guidance on clinical management.
Written by international experts in the field, this comprehensive book covers all aspects of obesity that may impact upon the practice of the anaesthetist, intensivist or other healthcare professional dealing with the obese patient. The information is presented in a logical manner--opening chapters cover the underlying pathophysiology of obesity and move on to discuss general risk factors, legal and ethical aspects of anaesthesia, changes in pharmacokinetics and pharmacodynamics, pre-operative assessment and management. The main section of the book then focuses on specific problems such as renal function, DVT, patient positioning, airway management and ventilation, pulse oximetry, TOE, brain monitoring and BIS, general, spinal and epidural anaesthesia, volatile anaesthetics and drug delivery. A final section includes chapters that detail the nursing, ICU and trauma management of the obese patient, and covers key topics such as anaesthesia for caesarean section, ECG, infection control, haemodynamic monitoring, post-anaesthetic care and postoperative analgesia.
Institute of Medicine,Committee to Develop Criteria for Evaluating the Outcomes of Approaches to Prevent and Treat Obesity
Author : Institute of Medicine,Committee to Develop Criteria for Evaluating the Outcomes of Approaches to Prevent and Treat Obesity Publisher : National Academies Press Page : 296 pages File Size : 54,8 Mb Release : 1995-03-01 Category : Medical ISBN : 9780309132572
Weighing the Options by Institute of Medicine,Committee to Develop Criteria for Evaluating the Outcomes of Approaches to Prevent and Treat Obesity Pdf
Nearly one out of every three adults in America is obese and tens of millions of people in the United States are dieting at any one time. This has resulted in a weight-loss industry worth billions of dollars a year and growing. What are the long-term results of weight-loss programs? How can people sort through the many programs available and select one that is right for them? Weighing the Options strives to answer these questions. Despite widespread public concern about weight, few studies have examined the long-term results of weight-loss programs. One reason that evaluating obesity management is difficult is that no other treatment depends so much on an individual's own initiative and state of mind. Now, a distinguished group of experts assembled by the Institute of Medicine addresses this compelling issue. Weighing the Options presents criteria for evaluating treatment programs for obesity and explores what these criteria meanâ€"to health care providers, program designers, researchers, and even overweight people seeking help. In presenting its criteria the authors offer a wealth of information about weight loss: how obesity is on the rise, what types of weight-loss programs are available, how to define obesity, how well we maintain weight loss, and what approaches and practices appear to be most successful. Information about weight-loss programsâ€"their clients, staff qualifications, services, and success ratesâ€"necessary to make wise program choices is discussed in detail. The book examines how client demographics and characteristicsâ€"including health status, knowledge of weight-loss issues, and attitude toward weight and body imageâ€"affect which programs clients choose, how successful they are likely to be with their choices, and what this means for outcome measurement. Short- and long-term safety consequences of weight loss are discussed as well as clinical assessment of individual patients. The authors document the health risks of being overweight, summarizing data indicating that even a small weight loss reduces the risk of disease and depression and increases self-esteem. At the same time, weight loss has been associated with some poor outcomes, and the book discusses the implications for program evaluation. Prevention can be even more important than treatment. In Weighing the Options, programs for population groups, efforts targeted to specific groups at high risk for obesity, and prevention of further weight gain in obese individuals get special attention. This book provides detailed guidance on how the weight-loss industry can improve its programs to help people be more successful at long-term weight loss. And it provides consumers with tips on selecting a program that will improve their chances of permanently losing excess weight.
Surgical Management of Obesity by Henry Buchwald,George S. M. Cowan,Walter J. Pories Pdf
Leaders in the field present today's most comprehensive coverage of bariatric surgery, one of the most promising current treatments for the growing global epidemic of overweight and obesity. This brand new resource begins with a through examination of the history, incidence, demography, etiology, biology, comorbidities, longevity, and social and economic implications of obesity. It then discusses pre-, peri-, and postoperative issues of importance before examining the evolution of bariatric procedures. Individual chapters present the best surgical approaches, their outcomes, and other considerations involved in this surgical approach. Presents a comprehensive overview of the entire field of bariatric surgery, as well as a broad discussion of critical non-operative topics. Discusses the evolution of bariatric procedures, followed by individual chapters that examine laparoscopic adjustable gastric banding, vertical banded gastroplasty, the banded gastric bypass, and other surgical approaches. Reviews the outcomes of bariatric surgery with respect to nutrition, diabetes, hypertension, sleep apnea, orthopedic conditions, and metabolism. Offers guidance on practical and academic training of the bariatric surgeon, patient support groups, the importance of the multidisciplinary team, managed care, allied health, laparoscopic suites and robotics, liability issues, and more. Includes dietary, drug management, and other alternative non-operative approaches. Addresses the growing incidence of childhood obesity with a chapter focusing on adolescent bariatric surgery patients. With 91 additional contributing experts.
Morbid Obesity in Adolescents by Kurt Widhalm,Gerhard Prager Pdf
As the worldwide prevalence of morbid obesity among adolescents continues to rise, recent years have seen a large increase in the performance of adolescent bariatric surgery. While surgical intervention often becomes necessary when conservative weight-loss therapies have failed, no standards regarding the post-operative regimen and long-term management of adolescent patients have been established. Thus, the treatment of obesity and its co-morbidities requires a multidisciplinary approach, taking into account epidemiological, clinical, nutritional and genetic aspects of morbid obesity in the pediatric age group. This volume discusses both conventional therapy and surgical options for morbid obesity in the pediatric age group. In the first part, obesity-related diseases, genetics and psychological factors are analyzed. The second part focuses on current bariatric surgery procedures, including dietary restrictions and guidelines to prevent nutritional deficiencies common after surgery. Therefore, the book will prove an invaluable resource for pediatricians, surgeons, nutritionists, dieticians and all other health professionals who treat adolescent obesity.
This report issues a call for urgent action to combat the growing epidemic of obesity, which now affects developing and industrialized countries alike. Adopting a public health approach, the report responds to both the enormity of health problems associated with obesity and the notorious difficulty of treating this complex, multifactorial disease. With these problems in mind, the report aims to help policy-makers introduce strategies for prevention and management that have the greatest chance of success. The importance of prevention as the most sensible strategy in developing countries, where obesity coexists with undernutrition, is repeatedly emphasized. Recommended lines of action, which reflect the consensus reached by 25 leading authorities, are based on a critical review of current scientific knowledge about the causes of obesity in both individuals and populations. While all causes are considered, major attention is given to behavioural and societal changes that have increased the energy density of diets, overwhelmed sophisticated regulatory systems that control appetite and maintain energy balance, and reduced physical activity. Specific topics discussed range from the importance of fat content in the food supply as a cause of population-wide obesity, through misconceptions about obesity held by both the medical profession and the public, to strategies for dealing with the alarming prevalence of obesity in children. "... the volume is clearly written, and carries a wealth of summary information that is likely to be invaluable for anyone interested in the public health aspects of obesity and fatness, be they students, practitioner or researcher." - Journal of Biosocial Science
Author : Jay B. Brodsky,Hendrikus J. M. Lemmens Publisher : Cambridge University Press Page : 147 pages File Size : 49,9 Mb Release : 2011-12-08 Category : Medical ISBN : 9781139505628
Anesthetic Management of the Obese Surgical Patient by Jay B. Brodsky,Hendrikus J. M. Lemmens Pdf
The global obesity epidemic is growing in severity, affecting people of every age and costing healthcare providers millions of dollars every year. Every day, anesthesiologists are presented with obese and morbidly obese patients undergoing every type of surgical procedure; the management of these patients differs significantly from that of normal weight patients undergoing the same procedure. Anesthetic Management of the Obese Surgical Patient discusses these specific management issues within each surgical specialty area. Initial chapters describe pre-operative assessment and pharmacology; these are followed by detailed chapters on the anesthetic management of a wide variety of surgical procedures, from joint replacement to open heart surgery. Essential reading for anesthesiologists and nurse anesthetists worldwide, Anesthetic Management of the Obese Surgical Patient and its companion work by the same authors, Morbid Obesity: Peri-operative Management, enable both trainees and practised professionals to manage this complex patient group effectively.
Psychiatric Care in Severe Obesity by Sanjeev Sockalingam,Raed Hawa Pdf
This book is designed to present a comprehensive, state-of the-art approach to assessing and managing bariatric surgery and psychosocial care. Unlike any other text, this book focuses on developing a biopsychosocial understanding of patients’ obesity journey and psychosocial factors contributing to their obesity and its management from an integrated perspective. Psychiatric Care in Severe Obesity takes a 360 approach by covering the disease’s prevalence and relationship to psychiatric illness and social factors, including genetics, neurohormonal pathways and development factors for obesity. This book presents evidence and strategies for assessing psychiatric issues in severe obesity and uses common psychiatric presentations to feature the impact on bariatric surgery and key assessment features for weight loss. Concluding chapters focus on evidence-based psychosocial treatments for supporting patients with weight loss and bariatric surgery and includes educational tools and checklists for assessment, treatment, and care. Experts on non-pharmacological interventions such as mindfulness, cognitive-behavioral therapy and nutrition education describe treatment approaches in each modality, concluding with pharmacological approaches for psychiatric conditions and eating pathology. Additional tools in the appendices support clinicians, making this the ultimate guide for managing psychiatric illness in patients suffering from severe obesity. As obesity continues to grow in prevalence as a medically recognized epidemic, Psychiatric Care in Severe Obesity serves a vital resource to medical students, psychiatrists, psychologists, bariatric surgeons, primary care physicians, dietitians, mental health nurses, social workers, and all medical professionals working with severely obese patients.
The surgical treatment of morbid obesity has undergone astonishing growth since its inception thirty years ago. The medical profession has long been aware of the discouraging intractability of morbid obesity to all forms of conservative management, and it is only recently that physicians have come to realize that surgery can provide very real palliation for the morbidly obese patient. Surgery does not attack the underlying etiology of morbid obesity, whatever it may be, but exerts its effect indirectly either by effecting a calorie loss through intestinal shunting, or by calorie deprivation through a radical reduction of gastric capacity. Acceptance of bariatric surgery as a legitimate therapeutic modality has met with considerable resistance by many physicians for two principal reasons. The first relates to the rather prevalent but unjustifiable attitude both within and without the medical profession that morbid obesity is an expression of slovenliness, the result of a character defect, or a defect of the will, and of an "easy way that those so atHicted should not be extended the benefit out," but should "shape up" by rigorous diet and exercise. The second more serious concern that has blunted enthusiasm for bariatric surgery has been the large number of late complications following jejunoileal bypass, and the high incidence of perioperative complications and revisional operations in some quarters following gastric reduction procedures. It is to these concerns that this book is addressed.
The Clinician’s Guide to the Treatment of Obesity by Adrienne Youdim Pdf
Presenting detailed information on treatment of the obese patient, this handy, concise title is designed not only to educate practitioners about obesity but, most importantly, to provide practical strategies in the comprehensive approach to treating this disease. Replete with bulleted lists and tables for easy referencing, this unique reference provides a comprehensive overview of the pathophysiology and natural history of obesity as well as a thorough review of available treatment options. The book’s early chapters discuss the disease of obesity, its corresponding health burden on individuals and society, and the psychosocial morbidity and effect of weight loss. Later practical, treatment-centered chapters include dietary and lifestyle strategies for weight loss, physical activity and writing an exercise prescription, pharmacotherapy approaches, perioperative care of the surgical patient, and complications of weight loss surgery, to name just several. An indispensable, easy-to-read resource for all health professionals interested in obesity diagnosis and treatment, The Clinician’s Guide to the Treatment of Obesity is a significant contribution to the literature that will be of value to all physicians, with particular appeal internal medicine and primary care physicians, endocrinologists, cardiologists, physician assistants, nurse practitioners and any practitioner that wishes to learn the up to date treatment strategies for the obese patient.
