Morbid obesity or severe clinical is a disease characterized by excessive accumulation of body fat perennially and progressive, which other pathologies related serious are added, called co-morbidities such as, digestive, respiratory , cardio-vascular, endocrinological and hormonal, gonadal and genitals, bone and overall deterioration of the quality of life dermatologic.
How do I know if I obesity?
If a patient is titrated with obesity Body Mass Index (BMI). Mild obesity has a BMI less than 30, while in morbid obesity, it is considered that the patient is a super-obese when their BMI is less than 50, and extreme obesity is placed from a IMC 60.
Consequences of obesity
The metabolic syndrome that usually occurs with mild obesity increases 5 times the risk of death. Mortality from obesity is usually due to a myocardial infarction to present one or more risk factors such as:
- Arterial hypertension
- Blood Glucose
- Insulin resistance
- Apnea hypercholesterolemia or dyslipidemia
- Sleep apnea
- Fatty liver
- Gastroesophageal reflux
Metabolic Syndrome is considered when: waist circumference exceeds 102 cm in men and 88 in women, has a glycemic index of 110 or more, levels of blood pressure of 140/90 or higher, one trigliceridemia 150 or senior, high levels of LDL cholesterol with colesterolHDL drop below 40 mg / dl in men and 50 in women.
It must first treated medically, but if the treatment fails and metabolic syndrome is maintained for over 5 years, it is time to assess the surgical option: a safe and little aggressive technique such as the tubular sleeve gastrectomy.
Early mortality in obese patients
Morbid obesity is associated with increased mortality at early ages. And it is that complications and comorbidities make young obese die earlier than their age thin. According to scientific studies, the treatment of obesity surgery causes a decreased risk of mortality up to three times, almost equated with people without obesity. However, other treatments less effective in weight loss diets and have not shown such an important for the health of patients analyzed change.
The risk of developing type 2 diabetes increases up to 10 - fold in patients with moderate obesity and much more in those with morbid obesity.
The risk of death from cancer in women with obesity increases 5.4 endometrial cancer, gallbladder cancer 3.6, 2.4 cervical cancer, ovarian cancer 1.6 and 1.5 for breast cancer. In men with morbid obesity increases by 1.7 the risk of death from colon cancer and other prostate cancer 1.7.
Social stigma of obesity
Obese people may suffer episodes of discrimination and lack of respect due to the social stigma with their disease. Thus, the obese patient suffers social stress that it causes psychological disorders, anxiety and a significant alteration of social relations, interpersonal and partner.
We must make it clear that obesity is not a socio-economic disease caused by lack of will, but a complex multifactorial disease which is influenced by genetic, metabolic, familial, environmental, social, psychological, cultural factors. Obese patients should not feel guilty and defeated by the disease, but needs help of some specialists in this type of pathology and general surgery of obesity.