By Ali El Solh

This e-book offers wellbeing and fitness execs with sound scientific recommendation on management of the overweight sufferer admitted into clinic. It addresses all elements of the patient's care, in addition to serving as a source to facilitate the administration of providers, use of medical info, and negotiation of moral concerns that happen in extensive care. because the variety of overweight sufferers in in depth care keeps to develop, this booklet will function a accomplished medical source for daily use via either weight problems experts and emergency medication physicians.

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5 Kjellin A, et al. Gastroesophageal reflux in obese patients is not reduced by weight reduction. Scand J Gastroenterol. 1996;31(11):1047–51. 6 Smith SC, Edwards CB, Goodman GN. Symptomatic and clinical improvement in morbidly obese patients with gastroesophageal reflux disease following Roux-en-Y gastric bypass. Obes Surg. 1997;7(6):479–84. 7 Wu JC, et al. Obesity is associated with increased transient lower esophageal sphincter relaxation. Gastroenterology. 2007;132(3):883–9. 8 Sugerman HJ, et al.

Measurements of gastric capacity using intragastric water-filled balloons have demonstrated an increase in patients with obesity [9]. These two changes in physiology can exacerbate GERD. The rate of gastric emptying relates to the development of GERD or even contributes to the development of Critical Care Management of the Obese Patient, First Edition. Edited by Ali A. El Solh. © 2012 John Wiley & Sons, Ltd. Published 2012 by John Wiley & Sons, Ltd. indd 21 12/14/2011 11:13:29 PM 22 Chapter 3 obesity.

1960;15:377–82. 5 Van Lith P, Johnson FN, Sharp JT. Respiratory elastance in relaxed and paralyzed states in normal and abnormal men. J Appl Physiol. 1967;23:472–86. 6 Pelosi P, Croci M, Ravagnan I, et al. The effects of body mass on lung volumes, respiratory mechanics, and gas exchange during general anesthesia. Anesth Analg. 1998;87(3): 654–60. 7 Ray C, Sue D, Bray G, Hansen J, et al. Effects of obesity on research function. Am Rev Respir Dis. 1983;128:501–6. indd 18 8 Pelosi P, Croci M, Ravagnan I, et al.

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