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Morbid Obesity Surgery



Bariatric or morbid obesity surgery may be required for someone who needs to lose a great deal of weight. Sadly, researchers who track such numbers estimate that over twenty million adults in the United States aren't just overweight, but are obese. The number of obese adults is expected to continue rising at a dramatic rate. Researchers and medical professionals use the term "obese" for a person who weighs twenty percent or more than his ideal weight. Someone who weighs one hundred or more pounds than his ideal body weight is considered to be clinically severe obese. The body mass index (BMI) is another common measurement that provides a ratio based on a person's height and weight. A clinically severe obese person will have a BMI of forty or more. However, if a person's BMI is 35 or more and accompanied by other health complications, this individual also is determined to be clinically severe obese. A few examples of complicating concerns are type 2 diabetes, heart disease, and sleep apnea. Undergoing morbid obesity surgery may the best way to treat people who are this overweight.



Obesity is often considered a chronic disease. This is because various symptoms related to being overweight occur over time. People who are overweight often have accompanying health conditions such as those mentioned above. Additionally, they may have high cholesterol, high blood pressure, difficulty walking or even breathing. The initial problem may stem from overeating, but there are often other underlying causes. A physician specializing in such issues is the best resource for anyone who is considering morbid obesity surgery. The physician can evaluate the patient's health history and the results of diagnostic tests. Bloodwork can determine problems with hormones, cholesterol levels, and other possible concerns. The individual may have physiological problems, perhaps with hormones operating at proper levels. Or the person overeats to compensate for emotional difficulties. Poor nutrition and lack of exercise during childhood might have led to a lifelong struggle with weight.



Even people who don't face the prospects of morbid obesity surgery are often concerned about their health and how much they weigh. Computer users can find out their BMI by doing a simple internet search. At the BMI calculator, a person can enter how tall she is and how much she weighs. The calculator then provides the index number. Generally speaking, those with a BMI of less than 18.t are considered underweight and those with a BMI of 30 or more are considered overweight. By leaving the height as is, a person can even enter different numbers of pounds to find out what weight gives a BMI in the "normal" category. This can help someone know how many pounds she needs to lose for a healthier BMI. However, it's also important to understand that the BMI has its limitations. For example, athletes often have a high BMI for their height because muscle mass weighs more than fat. An athlete might have a slightly higher BMI than a non-athlete and yet be healthier. Additionally, the elderly often have lost muscle mass so the BMI may not be a good indicator for them, either. The BMI should be used only as a starting point. Most people who find out they have a BMI of 25-34 need to re-evaluate their eating and exercise habits. Those with a BMI of 35 or more definitely need to seek medical advice and should perhaps consider morbid obesity surgery.



This simple prayer is recorded in Scripture: "'Two things have I required of thee; deny me them not before I die: Remove far from me vanity and lies: give me neither poverty nor riches; feed me with food convenient for me: Lest I be full, and deny thee, and say, Who is the Lord? or lest I be poor, and steal, and take the name of my God in vain'" (Proverbs 30:7-9). Though there are pockets of poverty in the United States, generally speaking this is a prosperous nation. It seems that this country has the most obese poor people of any other country in the world at any time in history. Instead of being satisfied with the "food convenient" for health and energy, people devour calorie-laden fast food, sugary soft drinks, and snacks full of saturated fats. Little surprise, then, that some people have to resort to morbid obesity surgery to regain their health. These patients need support from family and friends, not condemnation. It's doubtful that even one clinically obese person doesn't wish with all his heart that he was healthier and less heavy.



There are basically two types of obesity surgeries, restrictive and malabsorptive. Restrictive surgery, such as gastric banding, limits the amount of food the stomach can hold. The patient feels full more quickly than in her pre-surgery days. In the malabsorptive type of morbid obesity surgery, the surgeon re-routes the small intestine. This limits the number of calories and nutrients that the body can absorb. Some research studies suggest that surgery is a better long-term option for severely obese patients than other options. Researchers tracked three groups of individuals for several years: those who initially lost weight through diet and exercise; those who used prescription medications; and those who underwent surgical procedures. Only a small percentage of people were able to stay at an ideal weight through diet and exercise. The percentage who kept off weight after using prescription medications was practically zero. Those who underwent morbid obesity surgery had the greatest percentage of success. The patients who succeed must have a total commitment to the program, both before and after surgery. Counseling is often provided to assist the patient with underlying emotional issues.

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