Obesity as proinflamatorio state, and bariatric surgery. News

Abstract

Introduction: Are customarily defined obesity according to the index of body mass (IMC) results regardless of the pathogenesis of this, causing difficulties to when deciding treatment.

Objectives: Perform a theoretical review on obesity surgery, from the newest concepts and proinflamatorio State.

Material and methods: was an article of systematic review of the literature of the period 2013-2018 on obesity and Bariatric Surgery, with an emphasis on diagnostic and therapeutic conduct. Descriptive and inferential statistical methods were used. The method of combining results, where we compared studies with positive effect; ? 0.05 p, against the number of studies with negative effect; p ? 0.05, to determine the direction of the effect.

Results: The literatureconcerns diseases that cause overweight or obese, with only 2-3% of cases, such as Cushing's syndrome, congenital Hypogonadism, hypothyroidism, celiac disease and gluten sensitivity not celiac between otros.7, 8. Certain psychiatric illnesses including schizophrenia, eating disorders such as bulimia nervosa, binge eating or food addiction, as well as the use of antipsychotics atypical, can cause obesity.

Conclusions: The theoretical foundations analyzed on obesity allow to determine the significance of the diagnosis of obesity, by a good anamnesis that includes age at onset of overweight and obesity, family history of overweight and obesity, medical and surgical previous treatments, evolution of weight, food registration in 24 hours, regular physical activity and frequency, Comorbidities, a physical control of vital signs, the Association of anthropometric data, including weight, size as well as the IMC.