| Topic: | Digestive Diseases (DD) |
| Title: | Approach to the Patient with Obesity. |
| Author: | Korner, J.; Klein, S.; Aronne, L.J. |
| Source: | In: Textbook of Gastroenterology. 4th ed. [2-volume set]. Hagerstown, MD: Lippincott Williams and Wilkins. 2003. p. 752-760. |
| Availability: | Available from Lippincott Williams and Wilkins. P.O. Box 1600, Hagerstown, MD 21741. (800) 638-6423. Fax: (301) 223-2400. Website: www.lww.com. PRICE: $289.00. ISBN: 781728614. |
| Abstract: | Obesity is an overabundance of adipose tissue that arises from an excess of energy intake compared to expenditure. Obesity is not simply the result of gluttony and a lack of willpower. Rather, each individual inherits a set of genes that control appetite and metabolism, and a genetic tendency to gain weight that may be exacerbated by environmental conditions such as food availability, level of physical activity, and individual psychology and culture. This chapter on the approach to patients with obesity is from a lengthy, two-volume textbook that integrates the various demands of science, technology, expanding information, good judgment, and common sense into the diagnosis and management of gastrointestinal patients. Topics include molecular circuitry of body weight regulation, comorbidities of obesity, history and physical examination, and treatment strategies. The authors conclude that obesity is a common chronic disorder associated with multiple gastrointestinal comorbidities. Current nonsurgical treatments for obesity produce mean losses of 5 to 10 percent of body weight, enough to relieve many of these comorbidities. Diet, exercise, and behavior therapy form the cornerstone of treatment for obesity. In certain individuals, the addition of drug therapy or surgery is indicated if a more conservative approach has failed. 1 figure. 5 tables. 59 references. |
| Format: | Book Chapter |
| Language: | English. |
| Major Keywords: | Digestive System Diseases. Gastroenterology. Gastrointestinal System. Patient Care Management. Symptoms. Obesity. |
| Minor Keywords: | Body Weight. Genetics. Physiology. Behavior Modification. Food Habits. Patient Selection. Etiology. Prognosis. Pathogenesis. Complications. Morbidity. Drug Therapy. Diet Therapy. Exercise. |
| Publication Number: | DDBK09745 |
| Return to Search Results | |