Surgery plays a key role in the treatment of morbid obesity, more about but it is one more link in the chain that are members of a multidisciplinary team.

Obesity can be defined as a chronic disease, approved Epidemic, metabolic, multifactorial origin; characterized by an excess oily body, whose magnitude and distribution of the patient's health condition.

Already in ancient Greece, some effects of the disease were known, Hippocrates obesity associated with sudden death more than 2000 years old.

Obesity increases the risks of associated diseases such as hypertension, diabetes tipo 2, neoplasms, psychological disorders, depression, loss of self esteem etc.. This disease is determined by genetic and environmental factors. Currently starts from childhood by poor eating habits, food scraps, lack of caloric expenditure, little physical activity, few hours of sports, because of the convenience of this time, for example, using the remote control at the TV, Play Station, etc.

In about 30% of children affected, both parents are also. The risk is four times greater if one parent is obese and up to eight if both are.

In 2004, the World Health Organization declared obesity as the "epidemic of the century" (Resolution WHA 57.17) and estimated that 2015 will be in the world 2.300 billion overweight adults and more than 700 million will be obese.

How to measure? By determining the body mass index (I.M.C. = Weight / height squared).

Between 18 and 25 BMI is considered normal weight, more than 40, is considered morbidly obese, ie, with greatly increased risk of cardiovascular complications-, metabolic, osteo-articulares, etc..

It is estimated that in the province between 1% and 3% of people are morbidly obese and it is these patients who they should be considered as candidates to be surgically. Surgery plays an important role in the treatment of morbid obesity, but it is a link in the chain that meet the other members of the multidisciplinary team (clinical, Endocrinologists, psychologists, Nutritionists, physiotherapists, PE teachers).

Bariatric surgery weight loss guarantees, Most reverses associated diseases, prolongs life expectancy, esteem recovers, social and labor reinsertion.

In 2004 in the first Córdoba Hospital Bariatric Surgery Program was created in a public institution in the country, ministerially recognized to attend free of charge to needy patients and uninsured; currently continues to assist with techniques developed at international level; as by- Gastric pass, Vertical sleeve gastrectomy laparoscopically; depending on the Bariatric Surgery Section of General Surgery.

In 2007 and Decree 26396 was seen nationally as a disease. And in 2009 law was passed eating disorders. In 2005, el Apross (the social work of public employees) approach pioneered coverage of this disease in morbidly obese patients and cover surgical practice with multidisciplinary groups. Recently introduced a program that covers all patients from those with overweight-to-obese serious, emphasizing prevention, promotion and comprehensive treatment.

In short, I can say that today you can help these patients safely within a Bariatric Surgery Program and the indication for surgery should be made by a multidisciplinary group.

But the best treatment "is prevention", encourage sports, walks, eat healthy foods.

Today, in our province, All patients, with the sin coverage, can be treated.



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