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Related Concept Videos

Obesity01:24

Obesity

The Body Mass Index (BMI) is a numerical value derived from a person's weight and height, used to categorize individuals into weight ranges. It is calculated using the formula: weight in kilograms divided by height in meters squared. Obesity is a health condition characterized by excessive accumulation of adipose tissue that poses health risks, often diagnosed with a BMI ≥ 30. This excess fat storage occurs when surplus dietary calories are converted into triglycerides and stored in adipocytes...
Bulimia Nervosa01:30

Bulimia Nervosa

Bulimia nervosa is a complex and severe eating disorder characterized by a cyclical pattern of binge-and-purge eating pattern. It generally involves an episode of binge eating, followed by compensatory behaviors such as vomiting, excessive exercise, laxative use, or fasting, to prevent weight gain. Despite often maintaining a normal weight, individuals with bulimia are intensely preoccupied with their body image and harbor an overwhelming fear of gaining weight. This can contribute to the...
Binge Eating Disorders01:23

Binge Eating Disorders

Binge eating disorder is a significant mental health condition characterized by recurrent episodes of excessive food consumption within a short period, accompanied by a perceived loss of control over eating behavior. Unlike occasional overeating, binge eating disorder is marked by distressing emotions such as guilt, shame, and anxiety following binge episodes. The disorder affects individuals across different ages and backgrounds, with profound implications for physical and psychological...
Pharmacokinetics in Obese Patients: Drug Metabolism and Excretion01:20

Pharmacokinetics in Obese Patients: Drug Metabolism and Excretion

Drug metabolism, a critical process in the liver, involves two primary phases: Phase I reactions and Phase II conjugation. Obesity introduces significant alterations in this metabolic process, primarily due to fatty infiltration of the liver, leading to conditions such as nonalcoholic fatty liver disease (NAFLD). This condition can modify the activities of both Phase I and II enzymes, impacting how drugs are metabolized in obese patients.Phase I metabolism sees variable effects across...
Drug Dosing: Obese Patients01:21

Drug Dosing: Obese Patients

In the United States, obesity is a prominent concern. It is linked to heightened mortality rates due to increased occurrences of conditions such as hypertension, atherosclerosis, coronary artery disease, and diabetes compared to nonobese individuals. A patient is classified as obese if their actual body weight surpasses the ideal or desirable body weight by 20%, based on Metropolitan Life Insurance Company data. Ideal body weights consider average weights and heights for males and females...
Hypodermis01:02

Hypodermis

The hypodermis (the subcutaneous layer or superficial fascia) is present directly below the dermis. It connects the skin to the underlying fascia (fibrous tissue) of the bones and muscles. It is not strictly a part of the skin, although the border between the hypodermis and dermis can be difficult to distinguish. The hypodermis consists of well-vascularized, loose, areolar connective tissue and adipose tissue, which functions as a mode of fat storage and provides insulation and cushioning for...

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An Acupoint Catgut-embedding Therapy for Treating Obesity
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Obesity as a defense mechanism.

Justin Faden1, Douglas Leonard, John O'Reardon

  • 1University of Medicine and Dentistry of New Jersey - School of Osteopathic Medicine, 2250 Chapel Avenue, Suite 100, Cherry Hill, NJ 08002, United States.

International Journal of Surgery Case Reports
|December 4, 2012
PubMed
Summary

Past abuse history can significantly impact obesity and bariatric surgery outcomes. Early psychiatric screening and integrated care are crucial for managing psychosomatic symptoms and ensuring patient well-being post-surgery.

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Area of Science:

  • Psychiatry
  • Bariatric Surgery
  • Obesity Research

Background:

  • Rising rates of obesity and bariatric surgery necessitate exploring psychosocial factors.
  • Past abuse is an increasingly recognized contributor to obesity.

Purpose of the Study:

  • To investigate the impact of past abuse on a patient's post-bariatric surgery recovery.
  • To highlight the role of psychiatric evaluation in managing psychosomatic symptoms after gastric bypass.

Main Methods:

  • Case study of a 37-year-old female post-laparoscopic Roux-en-Y gastric bypass with intractable nausea and vomiting.
  • Psychiatric consultation for psychosomatic etiology evaluation after ruling out medical causes.
  • Utilized brief psychodynamic psychotherapy and pharmacotherapy.

Main Results:

  • Patient revealed a history of teen date rape leading to significant weight gain and obesity.
  • Symptoms resolved following psychiatric intervention and medical workup.
  • Patient remained asymptomatic at a 2-month follow-up.

Conclusions:

  • Screening for abuse history with tools like the Weight and Lifestyle Inventory (WALI) is recommended pre-surgery.
  • Individuals with abuse history require thorough screening and integrated psychiatric follow-up care.
  • Psychiatric involvement is a valuable adjunctive treatment during the medical workup phase.