Stomach Stapling: Surgical Treatment For Obesity
In today's society there is an increasing number of obese people despite the growing concerns about leading a healthy lifestyle. There are numerous programs, diets, medications, etc. that have been developed to aid weight loss efforts and weight maintenance. One field that is being rapidly explored is methods of surgical treatment for obesity. This paper will explore these surgical methods. In doing so it is important to also discuss the definition and measurement of obesity, programs that have been established and claim to aid weight loss efforts, candidates for this type of treatment, medical research that has been conducted and the risks involved in this type of treatment for obesity. The purpose of this paper is to correctly inform the reader about the claims of surgical treatment and the risks that are actually involved.
Obesity: Definition and Measurement
The term obesity is quite difficult to define for the mere fact that humans are highly individualistic and vary in weight and height. Therefore, a standardized definition of obesity is not inclusive. One definition of obesity is "a clinical term for excess body weight generally applied to persons who are 20% or more above a desired weight for height" (Williams, 1992, p.221). Another way to define obesity is simply as an "excess accumulation of body fat" (Perri, Nezu and Viegener, 1992, p.23); however, this definition seems to be simplistic because it does not explicitly determine what the percentage overweight should be in order to define a person as obese. Because there is no standard body weight, overweight is often measured by body mass index (BMI). Body mass index is calculated as follows: BMI=weight(in k...
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Obesity remains an extremely serious issue worldwide. Once considered a problem for wealthier counties, overweight and obesity are now dramatically increasing in low and middle income countries (WHO, 2011). In American, the rates of obesity continue to soar. CDC (2009) recognizes obesity as a risk factor for diabetes, heart disease, high blood pressure, and other health problems. According to NHANES over two-thirds of the US are overweight or obese, and over one-third are obese (CDC, 2009). Treatment for this illness varies; it may include the incorporation of diet, exercise, behavior modification, medication, and surgery. Since there is no single cause of all overweight and obesity, there is no single way to prevent or treat overweight and obesity that will help everyone (CDC, 2009).
In the recent years, American adults and even children have become morbidly obese, which has fueled a campaign for an effective intervention. The intervention that is beginning to receive widespread popularity is gastric bypass surgery. According to Tish Davidson and Teresa G. Odle in the article ‘Obesity Surgery,’ “gastric bypass surgery [is] probably the most common type of obesity surgery; gastric bypass surgery has been performed in the United States for about 25 years. In this procedure, the volume of the stomach is reduced by four rows of stainless steel staples that separate the main body of the stomach from a small, newly created pouch. The pouch is attached at one end to the esophagus. At the other end is a very small opening into the small intestine. Food flows though this pouch, bypassing the main portion of the stomach and emptying slowly into the small intestine where it is absorbed.” This limits the amount of food an individual can consume, which helps to prevent overeating. Therefore, gastric bypass surgery is the best way to lose the unwanted pounds and keep it off because of the low post surgical complications, exuberant long lasting results, and decrease in obesity related heath problems.
Edgar Allan Poe was born in Boston, Massachusetts, the son of actress Elizabeth Arnold Hopkins Poe and actor David Poe, Jr. His father abandoned the family in 1810, and his mother died of tuberculosis when he was only two, so Poe was taken into the home of John Allan, a successful tobacco merchant in Richmond, Virginia. Although his middle name is often misspelled as "Allen," it is actually "Allan" after this family. After attending the Misses Duborg boarding school in London and Manor School in Stoke Newington, London, England, Poe moved back to Richmond, Virginia, with the Allans in 1820. Poe registered at the University of Virginia in 1826, but only stayed there for one year. He was estranged from his foster father at some point in this period over gambling debts Poe had acquired while trying to get more spending money, and so Poe enlisted in the United States Army as a private using the name Edgar A. Perry on May 26, 1827. That same year, he released his first book, Tamarlane and Other Poems. After serving for two years and attaining the rank of Sergeant-major, Poe was discharged. In 1829, Poe's foster mother Frances Allan died and he published his second book, Al Aaraf. As per his foster mother's deathwish, Poe reconciled with his foster father, who coordinated an appointment for him to the United States Military Academy at West Point. His time at West Point was ill-fated, however, as Poe supposedly deliberately disobeyed orders and was dismissed. After that, his foster father repudiated him until his death in March 27, 1834.
In June of 2013, The American Medical Association (AMA) officially recognized obesity as a disease. According to the Centers for Disease Control (2014), one in three Americans are obese, from 1980 to 2008, obesity rates have doubled for adults and tripled for children, approximately 35.7% of U.S adults and 17% of U.S. children are obese. The purpose of this paper is to inform the reader of the increasing prevalence of obesity in the world; that childhood and adulthood obesity is a chronic condition that leads to many other long term health problems and there are many different ways it can be prevented.
Edgar Allan Poe was born in Boston, Massachusetts on January 19, 1809. His parents, who were actors, died when Poe was a small child. Poe was then adopted and raised by John Allan, a tobacco exporter, and Frances Allan in Richmond, Virginia (Magill, 1640). Poe was sent to the best schools because of Allan’s job. When Poe was six years old he was sent to private school. Poe kept studying and went to the University of Virginia for one year. After one year in the University Poe quit school because Allan refused to pay his debts, and he did not have money to pay for Poe’s education. Later, Poe left Boston in 1827 where he enlisted in the army. Poe served two years in the military after he quit school. After two years in the military Poe was dismissed for neglect of duty. His foster father then disowned him permanently. He stayed very little time there because Allan, once again, refused to send Poe any money. (Hoffman, Daniel)
All of Poe’s life he wanted to do tow things, write and go on adventures, so after publishing his first book he set out on the adventure portion. He enlisted into the United States Army. But after only two years of this he rushed home to Richmond after hearing that Frances Allan his ad...
Obesity has been accepted in the American society as a norm. According to the U.S. office of the Surgeon General, in 1999, 6 in 10 American adults were classified as obese or overweight (McMurray, par. 5). In order for one to be classified as obese they’re body mass index (BMI) must be 30 or greater. The number of obese in America has continued to increase. It has been estimated by The World Health Organization that 300 million people will be obese by 2025 (Bailey 3). Since obesity comes with many health risks, many feel it should be treated as a disease.
Obesity is now considered a global epidemic, with particularly concentrated numbers in the United States. In 2011-2012 more than one-third of U.S. adults were estimated to be obese (National Center for Health Statistics, 2013). Due to the increasing prevalence of the epidemic, anesthesiologists must manage a significant number of clinically obese patients. A large range of physiological variations are associated with obesity, including cardiac, respiratory, and metabolic functions (Leykin, v). The areas of concern for anesthesiologists when operating on the obese can be separated into three perioperative stages: preoperative, intraoperative, and postoperative.
Bariatric surgery or the weight-loss surgery is an operation performed on abnormally obese people with a body mass index greater than 40 and is a service provided by an inter-disciplinary team – psychiatric, endocrine, rehab, nutritionist, cardiologist, and pulmonologist. Studies have shown that in seriously obese people, having weight loss surgery means they are likely to live longer because of the less risk of stroke, heart attacks, some types of cancer, and liver diseases. By dividin...
Obesity is a problem of current magnitude in many technologically advanced countries and is becoming an increasing concern in developing countries, which have traditionally dealt with the problems of lack of nutrition. Obesity is a critical health problem for the reason that it’s a severe health issue, increased death risk, and associated social, psychological and economic costs goes with being obese. Globally obesity has doubled since 1980, 1.9 billion adults are overweight, out that 600 million adults are obese as of 2014 (Obesity and overweight, 2014). The past decade has seen a surge in the number of weight loss or Bariatric surgery done. The use of weight loss surgery is considered to be the most efficient way to treat obesity
The EIA Directive aims to be integrative of all interested actors and to make a wide range of projects sustainable, in order to protect the environment, enhance the quality of life and reduce any friction between planners, developers and local communities [European Union (EU), 2009]. It is a process constituted by different stages from screening to evaluating and monitoring the impacts of the project implemented (Wood, 2003).
Databases are becoming as common in the workplace as the stapler. Businesses use databases to keep track of payroll, vacations, inventory, and a multitude of other taske of which are to vast to mention here. Basically businesses use databases anytime a large amount of data must be stored in such a manor that it can easily be searched, categorized and recalled in different means that can be easily read and understood by the end user. Databases are used extensively where I work. In fact, since Hyperion Solutions is a database and financial intelligence software developing company we produce one. To keep the material within scope I shall narrow the use of databases down to what we use just in the Orlando office of Hyperion Solutions alone.
Environmental impact assessment (EIA) is the evaluation of the effects likely to arise from a major project (or other action) significantly affecting the environment (Jay, et al., 2007). It is a systematic process for considering possible impacts prior to a decision being taken on whether or not a proposal should be given approval to proceed (Jay, et al., 2007). Consultation and public participation are integral to this evaluation. EIA is thus an anticipatory, participatory environmental management tool (Jay, et al., 2007).
Environmental Impact Assessment (EIA) is assessment of impacts on the environment due to proposed activity and finding ways to mitigate the environmental impacts.
Also, the public members are supposed to be actively involved in the EIA process so as to ensure that a cost effective method in conducting the EIA is chosen. Overall, the applications and importance of the Environmental Impact Assessment for public projects is enormous; thus, requires a collective approach and participation of the public members and various authorities in ensuring that any project becomes environmentally sustainable.