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Medical management of obesity
Obesity is a multidisciplinary disease cause by modern way of life,
increased food intake, absence of exercise, stress and anxiety as
well as hormonal, genetics and other unknown factors. Therefore
its management is rather difficult requiring team approach that
applies dietary measures, exercise programs, pharmacological
therapy, behavioural modification and psychological support.
When excess weight is 20-25 kg or more operative intervention is
necessary for radical and permanent weight reduction. This
is because severe forms of obesity usually failed to respond
in more simple medical management with diet, exercise etc.
In that case endoscopic methods such as intragastric balloon
placement or minimally invasive laparoscopic methods such as
Laparoscopic adjustable gastric banding, laparoscopic sleeve
gastrectomy and laparoscopic gastric bypass are used for
permanent weight loss.
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