By Nadey S. Hakim, Franco Favretti, Gianni Segato, Bruno Dillemans

Over the past twenty years, weight problems has reached epidemic proportions on the planet, leading to soreness and untimely loss of life. Morbid weight problems is a prolonged scientific disease that has long-reaching outcomes and is because of a number of elements. Bariatric surgical procedure and different non-invasive approaches in rigorously chosen sufferers are powerful remedies for weight problems. it's the basically instrument for sustained and powerful long term weight reduction.

the sector of surgical procedure is constructing quickly - supplying leading edge strategies for sufferers who've didn't drop extra pounds through nutrition, workout and pharmacological tools. The editors evaluate difficulties that the sufferers face within the perioperative interval and within the long-term, in addition to their changes in way of life and healthcare administration.

The textual content is authored through specialists who perform the multidisciplinary care of bariatric sufferers. it's going to tackle the overview and choice of sufferers' remedy ahead of surgical procedure, innovations for surgical intervention and postoperative scientific administration.

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The effect of age on the association between body-mass index and mortality. N Engl J Med 338(1): 1–7. 11. , Willekens, F. et al. (2003). Obesity in adulthood and its consequences for life expectancy: a life-table analysis. Ann Intern Med 138(1): 24–32. 12. C. et al. (2004). Obesity and unhealthy life-years in adult Finns: an empirical approach. Arch Intern Med 164(13): 1413–1420. 13. , Haines, K. et al. (2007). A state-wide review of contemporary outcomes of gastric bypass in Florida: does provider volume impact outcomes?

Trombogenic Increase of viscosity Increase of fibrinogen Decrease of ATIII Increase of plasminogen activator inhibitor (PAI-1) 6. Immunologic Hypercortisolism Disfunction of leucocytes Alterations of cytokine Organ Correlate Co-morbidity 1. Adipose tissue Hypertension Alteration of gonadic steroids 2. Liver Post-hepatic increase of blood glucose Steatosis, fibrosis 3. Kidney Increase of glomerular filtration volume Microalbuminuria Sodium reabsorption 4. qxd 11/11/2010 2:50 PM Page 22 b1024 Bariatric Surgery 22 E.

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