[From morbid obesity to complex obesity: somato-psychic issues]

Abstract

Complex obesity is a chronic, multifactorial pathology. These repercussions (respiratory insufficiency, hypoventilation syndrome, cardiac insufficiency, loss of functional autonomy and mobility with a tendency to grabatization, depression, behavioral disorders) directly sustain the disease. Access to care is virtually impossible for them outside specialized obesity centers (CSO) and specialized medical and rehabilitation care (SMR). We need to support healthcare teams by analyzing their practices, including those of expert patients, to ensure that complex obesity is treated with the humanity it requires.

Keywords: boucle systémique; care; complex obesity; evaluation; exclusion; multifactoriality; multifactorialité; obésité complexe; soin; systemic loop; team; équipe; évaluation.