Morbid Obesity

obesity /obes·i·ty/ (o-bēs´ĭ-te) an increase in body weight beyond the limitation of skeletal and physical requirements, as the result of excessive accumulation of body fat.obese´,

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adult-onset obesity  that beginning in adulthood and characterized by increase in size (hypertrophy) of adipose cells with no increase in number.

lifelong obesity  that beginning in childhood and characterized by an increase both in number (hyperplasia) and in size (hypertrophy) of adipose cells.

morbid obesity  the condition of weighing two or more times the ideal weight; so called because it is associated with many serious and life-threatening disorders.

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morbid obesity

n.

The condition of weighing at least twice the ideal weight.

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morbid obesity

Etymology: L, morbidus, diseased, obesitas, fatness

an excess of body fat, or weight of 100 pounds over ideal body weight, that increases the risk of developing cardiac and endocrine disturbances, including coronary artery disease and diabetes mellitus, as well as some kinds of cancer.

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Morbid Obesity

A condition defined as a BMI of greater than 40 kg/m2. MO is common in the US and increasingly so in developed countries. The co-morbidities of morbid obesity are those of obesity, but more severe—type 2 diabetes, coronary artery disease/heart disease, sleep dypnoea, osteoarthritis and a 25–33% increased risk of breast, colorectal, endometrial, kidney, oesophageal and prostate cancer and an even higher risk of gallbladder cancer
Management Managing morbid obesity requires lifestyle changes including exercise, or surgery, which offers various solutions in the form of bypasses, resections, staples, etc. Bariatric surgery may result in significant weight loss, but potential jejuno-ileal bypass complications include steatorrhoea, liver failure, cirrhosis, oxalate deposition, gallstone formation, electrolyte imbalance—decreased Ca2+, Mg2+, K+—hypovitaminosis, psychologic problems, polyarthropathy, hair loss, pancreatitis, colonic pseudoobstruction, intussusception, pneumatosis cystoides intestinalis, and blind loop syndrome
Note: Mutations in the leptin gene are linked to insatiable appetite, morbid obesity and clinical defects which respond to leptin therapy. However, leptin gene mutations are ‘case report rare’ and for most of those suffering from morbid obesity, the problem is not genetic

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morbid obesity

Superobesity Bariatircs A condition defined as 45 kg > ideal body weight, 2 times > ideal/standard weight or, for children, a triceps skin fold > 95^th percentile of all children; despite significant weight loss following jejuno-ileal bypass, the procedure is complicated by steatorrhea, hepatic failure, cirrhosis, oxalate deposition, bile stone formation, electrolyte imbalance–↓ Ca2+, Mg2+, K+, hypovitaminosis, psychologic problems, polyarthropathy, hair loss, pancreatitis, colonic pseudoobstruction, intussusception, pneumatosis cystoides intestinalis, blind loop syndrome. See Gastric balloon, Obesity, Pickwick syndrome.