Skip to main content

Management of Obesity

  • Chapter
  • First Online:
Gastroenterology For General Surgeons

Abstract

Obesity and its health-related medical problems place a considerable burden on the health system and have a significant impact on health-related spending. Latest data has shown that more than one in four adult Australians are classified as obese (BMI of 30.0 kg/m2 or more), and this figure is continually rising. This chapter reviews the principles of secondary prevention of obesity and the surgical management of severe obesity. The management of obesity involves an interdisciplinary team that including specialised dieticians, exercise physiologists, clinical psychologists, physicians and surgeons with expertise in weight loss management. Bariatric surgery should be considered for suitable patients who met set criteria and may take the form of laparoscopic gastric banding, laparoscopic sleeve gastrectomy, Roux-en-Y gastric bypass and single loop bypass.

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Chapter
USD 29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD 99.00
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Hardcover Book
USD 129.99
Price excludes VAT (USA)
  • Durable hardcover edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

Recommended Reading

  • Agha M, Agha R. The rising prevalence of obesity: part A: impact on public health. Int J Surg Oncol. 2017;2(7):e17.

    Article  Google Scholar 

  • Bischoff SC, Damms-Machado A, Betz C, Herpertz S, Legenbauer T, Löw T, et al. Multicenter evaluation of an interdisciplinary 52-week weight loss program for obesity with regard to body weight, comorbidities and quality of life—a prospective study. Int J Obes (2005). 2012;36(4):614–24.

    Article  CAS  Google Scholar 

  • Buchmueller TC, Johar M. Obesity and health expenditures: evidence from Australia. Econ Hum Biol. 2015;17:42–58.

    Article  Google Scholar 

  • Department of Health Website. Prevention and education section. About Overweight and Obesity n.d.

    Google Scholar 

  • Dixon JB, Eaton LL, Curry T, Lee PC. Health outcomes and explant rates after laparoscopic adjustable gastric banding: a phase 4, multicenter study over 5 years. Obesity (Silver Spring, Md). 2018;26(1):45–52.

    Article  Google Scholar 

  • Flegal KM, Kruszon-Moran D, Carroll MD, Fryar CD, Ogden CL. Trends in obesity among adults in the United States, 2005 to 2014. JAMA. 2016;315(21):2284–91.

    Article  CAS  Google Scholar 

  • Franz MJ, VanWormer JJ, Crain AL, Boucher JL, Histon T, Caplan W, et al. Weight-loss outcomes: a systematic review and meta-analysis of weight-loss clinical trials with a minimum 1-year follow-up. J Am Diet Assoc. 2007;107(10):1755–67.

    Article  Google Scholar 

  • Grima M, Dixon JB. Obesity—recommendations for management in general practice and beyond. Aust Fam Physician. 2013;42(8):532–41.

    PubMed  Google Scholar 

  • Haddock CK, Poston WS, Dill PL, Foreyt JP, Ericsson M. Pharmacotherapy for obesity: a quantitative analysis of four decades of published randomized clinical trials. Int J Obes Relat Metab Disord. 2002;26(2):262–73.

    Article  CAS  Google Scholar 

  • Holes-Lewis KA, Malcolm R, O’Neil PM. Pharmacotherapy of obesity: clinical treatments and considerations. Am J Med Sci. 2013;345(4):284–8.

    Article  Google Scholar 

  • Leung F. The Australian bureau of statistics Leung and Fudner 2011–12.

    Google Scholar 

  • National Health and Medical Research Council. Clinical practice guidelines for the management of overweight and obesity in adults, adolescents and children: draft clinical practice guidelines for primary healthcare professionals. Canberra: NHMRC, 2013. NHMRC. 2013a.

    Google Scholar 

  • National Health and Medical Research Council. Overweight and obesity in adults: a guide for general practitioners. Canberra: NHMRC, 2003. NHMRC. 2013b.

    Google Scholar 

  • Schauer PR, Bhatt DL, Kirwan JP, Wolski K, Aminian A, Brethauer SA, et al. Bariatric surgery versus intensive medical therapy for diabetes - 5-year outcomes. N Engl J Med. 2017;376(7):641–51.

    Article  Google Scholar 

  • SIGN. Management of obesity. A national clinical guideline. Edinburgh: Scottish Intercollegiate Guidelines Network; 2010.

    Google Scholar 

  • Sjostrom L, Narbro K, Sjostrom CD, Karason K, Larsson B, Wedel H, et al. Effects of bariatric surgery on mortality in Swedish obese subjects. N Engl J Med. 2007;357(8):741–52.

    Article  Google Scholar 

  • Wang MC, Guo XH, Zhang YW, Zhang YL, Zhang HH, Zhang YC. Laparoscopic Roux-en-Y gastric bypass versus sleeve gastrectomy for obese patients with type 2 diabetes: a meta-analysis of randomized controlled trials. Am Surg. 2015;81(2):166–71.

    PubMed  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Harsh A. Kanhere .

Editor information

Editors and Affiliations

Rights and permissions

Reprints and permissions

Copyright information

© 2019 Springer Nature Switzerland AG

About this chapter

Check for updates. Verify currency and authenticity via CrossMark

Cite this chapter

Kanhere, H.A., Trochsler, M.I. (2019). Management of Obesity. In: Wichmann, M., McCullough, T., Roberts-Thomson, I., Maddern, G. (eds) Gastroenterology For General Surgeons. Springer, Cham. https://doi.org/10.1007/978-3-319-92768-8_24

Download citation

  • DOI: https://doi.org/10.1007/978-3-319-92768-8_24

  • Published:

  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-319-92767-1

  • Online ISBN: 978-3-319-92768-8

  • eBook Packages: MedicineMedicine (R0)

Publish with us

Policies and ethics