The rates of obesity have increased in the world, according to what experts said in recent studies, as some guidelines were established that reduce the occurrence of obesity, which experts described as morbid obesity and must be controlled. Obesity was recognized as a disease by the World Health Organization in 1979, according to diabetes experts, with obesity suffering about 4% of the population and having a BMI of up to about 40 or more, and obesity may accompany Symptoms of other diseases and their BMI may reach approximately 35.
Guidance on the issue of combating obesity, which was approved by a large group of experts from various medical specialties, was based in part on data from the American Health Organization, which stated that 95% of people suffer from morbid obesity, and some may succeed in reducing their weight through Following a diet, however, and some of them fail to keep losing weight for a long period of time.
Obesity and surgical treatmentThe American Medical Association confirmed in previous years, specifically in both 1991 and 2000, that effective treatment based on surgical procedures must be sought, which includes treatment for people suffering from diseases that may threaten their lives due to obesity.
In the same context, the experts pointed out that the proposed surgical operations that aim to reduce the size of the stomach of the patient with obesity, may reduce his feeling of hunger, but sometimes it may affect and change the digestive system's absorption of food intake, which contributes positively to this. Helping obese people to reduce their weight significantly, or in treating some diseases related to obesity, and this relates to the nature of chronic diseases associated with obesity or obesity, among which are: diabetes, high cholesterol level in the blood, as well as high blood pressure and sleep apnea And s D This condition causes heart attacks or sudden strokes, and this increases the risk of death.
Moreover, with regard to the relationship between obesity and diabetes, doctors have found that in cases where surgery is performed for patients who are extremely overweight and have diabetes, blood sugar levels decrease until full recovery from diabetes. And for a short period of the life of the operation.
According to what was mentioned previously, the decision to establish a body that includes many experts from different medical specialties is the right thing, and this reflects the importance of the direction of prevention and limiting the occurrence of obesity and its spread in Arab and Western societies. Therefore, the formulation of guidelines is important to facilitate the treatment and initial diagnosis of the disease. In some cases, obese patients are referred to doctors specializing in heart disease, diabetes, and obesity.
Learn about: causes of obesityThe expert-approved steering committee will determine the appropriate key indicators and recommendations for approval of an obesity surgical procedure. Individuals are nominated based on the following specifications:
- The surgery is performed for those who have tried in the past in a number of ways to reduce weight and failure, especially as its weight increases.
- Whoever has a BMI of 40 or more, or even 35 and other diseases along with obesity.
- In some cases, a surgical solution may be considered for patients with a body mass index of less than 35, and who have a disease that may significantly improve after surgery, such as type 2 diabetes, metabolic syndrome, or sleep apnea, And various types of cancer, arthritis, fertility problems and more.
- The type of surgery appropriate for the patient is determined according to the patient's age, dietary habits, lifestyle, and response to treatment, as well as based on his health condition and diseases associated with obesity.
After completing the specifications and conditions for the operation, the doctors may provide all information related to the operation, including the financial cost necessary to pay to complete the surgery. It is reported that before choosing a surgical solution, the condition of the person suffering from obesity is assessed by a multi-team of experts and specialists, including the doctor who will perform the operation for the patient, next to the psychiatrist or psychiatrist, the internal doctor or endocrinologist, as well as the nurse and nutritionist.
Treatment will not stop here, and after the surgery to treat obesity, the patient may need to continue treatment and follow-up throughout his life, and he must visit the treated and multidisciplinary team, and for at least 3 visits, and this is applied in the first year after the surgery.