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. 2017 Jan;19(1):52-60.
doi: 10.1016/j.tgie.2017.01.003. Epub 2017 Jan 25.

A working paradigm for the treatment of obesity in gastrointestinal practice

Andres Acosta  1 , Michael Camilleri  1
Affiliations

A working paradigm for the treatment of obesity in gastrointestinal practice

Andres Acosta et al. Tech Gastrointest Endosc. 2017 Jan.

Abstract

Obesity is a chronic, relapsing, multi-factorial disease characterized by abnormal or excessive adipose tissue accumulation that may impair health and increase disease risks. Despite the ever-increasing prevalence and economic and societal burden, the current approaches to treat obesity are not standardized or generally effective. In this manuscript, we describe a current working paradigm developed by a consensus approach for the multidisciplinary treatment of obesity in the GI practice. Obesity should be managed as a continuum of care focusing on weight loss, weight loss maintenance and prevention of weight regain. This approach needs to be disseminated throughout the health care system, coordinated by a multidisciplinary team and include gastroenterologists who are in a unique position to address obesity. Gastroenterologists are in the front line of managing the morbidity resulting from obesity, and have expertise in use of the essential tools to manage obesity: nutrition, pharmacology, endoscopy and surgery.

Keywords: obesity; weight loss; weight loss management.

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Figures

Figure 1
Figure 1
POWER: Practice Guide on Obesity and Weight Management, Education and Resources (with permision from from ref. 21)
Figure 2
Figure 2
Comparison of Weight Loss and Adverse Events with Pharmacological Weight Loss Agents in Network Meta-analysis (33)
Figure 3
Figure 3
Algorithm for management of obesity
See this image and copyright information in PMC

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