Chirurgie-Digestive.com Docteur Paul Lachowsky
 
Surgery of the Digestif Tract
Surgery of Obesity
Laparoscopy

Locations of activity in the heart of the CHIREC
Centre Hospitalier Inter-régional Edith Cavell

New Hospital of the Basilique
Pangaertstreet 37
1083 Brussels
Tel.(0032).2.434.21.11.

Medical Institute Edith Cavell
Edith Cavell street
32 1180-Brussels
Tel.(0032).2.434.42.40.

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Obesity Surgery > Morbid Obesity: Definitions and Complications

A) Definition: obesity is best calculated by using the body mass index  (body mass index = BMI)
    (Body Mass Index = BMI = Indice de Masse Corporelle = IMC).

Or: BMI= weight in kg / (lenght in m)² 

The BMI is a relation between the weight (in kilogram) to the square of the body length (in meters).

Normal weight BMI between 18 and 25
Overweigth BMI between 18 and 25
Obesity I between 30 and 35
Morbid obesity BMI > 35 (combined with minimal 2 co-morbidities)
BMI>40  

B) Obesity linked complications:

Cardiovascular diseases, arterial hypertension
Diabetes mellitus type 2
Hyperglycemia
Hypercholesterolemia (with decrease of the "good HDL cholesterol")
Sleepapnoea and sleeping disorders
Painful joints, lumbar arthrosis, hip and knees
Gastro-oesophageal reflux
Severe psychological problems
Infertility

PS: 30% of the morbid cases suffer of the sleepapoenea syndrom. It is recognized by a loud noctural snoring, headaches in the morning and abnormal fatigue during the day due to a lack of sleep overnight.

C) Morbid obesity is a serious disease: the mortality rate increases from BMI 35 on (fig 1)

 

(Click to enlarges)

 

D) The ideal weight is defined by the gender, the body lenght, and the bone composition and is incorported in the tables of the "Metropolitan Life Insurance Company"



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