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Absorption: Process by which digested food is absorbed by the lower part of the small intestine into the bloodstream.

Anastomosis: Surgical connection between two structures.

Bariatric surgery: is surgery on the stomach and/or intestines to help the patient with extreme obesity lose weight.

Body Mass Index (BMI): A measure of body weight relative to height. BMI can be used to determine if people are at a healthy weight, overweight or obese. To figure out BMI, use the following formula:

Clinically Severe Obesity: Body Mass Index of 40 or more, which is roughly equivalent to 100 pounds or more over ideal body weight; a weight level that is life risking. Also known as Morbid Obesity.

Co-Morbid: Associated illness (i.e., arthritis, hypertension) disabling conditions associated with clinically severe obesity or obesity-related health conditions.

Colon: Large intestine beginning at the end of the small intestine and ending at the rectum.

Contraindications: Any symptom or circumstance indicating the inappropriateness of an otherwise advisable treatment (i.e., alcoholism; drug dependency; severe depression; sociopathic (antisocial) personality disorder).

Diet: What a person eats and drinks. Any type of eating plan.

Dilation: Process of enlarging a passage or anastomosis.

Dumping Syndrome: Uncomfortable feeling of nausea, lightheadedness, upset stomach, diarrhea, associated with ingestion of sweets, high-calorie liquids or dairy products.

Duodenum: First 12" of small intestine immediately below stomach. Bile and pancreatic fluids flow into the duodenum through ducts from liver and pancreas respectively.

Gastric: Pertaining to stomach.

Hernia: A weakness in the abdominal wall resulting in a detectable bulge.

Jejunum: Ten feet of small intestine; the part responsible for digestion.

Lap-Band Adjustable Gastric Banding System: is an inflatable band that is placed around the upper stomach to create a small gastric pouch. This limits food consumption and creates an earlier feeling of fullness. The band is implanted by laparoscopic surgery and is then adjusted over time to meet individual patient needs. Once the band is in place, it is inflated with saline. Subsequent adjustments are made through a portal under the skin.

Laparoscopic Gastric Bypass: Laparoscopy is a term given to a group of operations that are performed with the aid of a camera placed in the abdomen. The laparoscope allows physicians to perform minimally invasive surgery with just a small incision in the abdomen. This technology, known as laparoscopic assisted surgery, enables the minimally invasive removal of the colon, the kidney (for living donors in kidney transplants), and weight reducing procedures such as gastric bypass and vertical banding gastroplasty (VBG).

Laparoscopy: Method of visualizing and treating intra-abdominal problems with long fiber-optic instruments.

Lleum: Ten feet of small intestine, responsible for absorption.

Malabsorption: Difficulty in the digestion or absorption of nutrients from food substances.

Metabolism: All of the processes that occur in the body that turn the food you eat into energy your body can use.

Morbid: Pertaining to disease, illness, increased risk of death .

Morbid Obesity: Body Mass Index of 40 or more, which is roughly equivalent to 100 pounds or more over ideal body weight; a weight level that is life risking .

Multi-disciplinary: Team approach to evaluation and treatment of clinically severe obesity; includes surgical, internal medicine, nutrition, psychiatric, and exercise physiology assessment and treatment .

Nutrition: The process of the body using food to sustain life. (2) The study of food and diet.

Obesity: Having a high amount of body fat. A person is considered obese if he or she has a body mass index (BMI) of 30 kg/m2 or greater.

Obstructions: Narrowing of an anastomosis or segment of gastrointestinal tract which retards normal passage of food or waste materials .

Psychotherapy: Evaluation and treatment of mentally related disorders .

Pulmonary: Pertains to the lungs .

Roux-en-Y Gastric Bypass: A surgical method of reconnecting the stomach and upper small intestines in roughly a Y shape.

Staples: Surgically sterile devices for connecting tissue; usually permanent and made of stainless steel or titanium .

Strictures: Narrowing of anastomosis or section of intestine; often related to scarring or ulcers .

Type 1 diabetes: Previously known as "insulin-dependent diabetes mellitus," (IDDM) or "juvenile diabetes." Type 1 diabetes is a life-long condition in which the pancreas stops making insulin. To treat the disease, a person must inject insulin, and test blood sugar several times a day. Type 1 diabetes usually begins before the age of 30.

Type 2 diabetes: Previously known as "noninsulin-dependent diabetes mellitus" (NIDDM) or "adult-onset diabetes." Type 2 diabetes is the most common form of diabetes mellitus. People with type 2 diabetes produce insulin, but either do not make enough insulin or their bodies do not use the insulin they make. Most of the people who have this type of diabetes are overweight. Therefore, people with type 2 diabetes may be able to control their condition by losing weight through diet and exercise. They may also need to inject insulin or take medicine along with continuing to follow a healthy program of diet and exercise. Type 2 diabetes commonly occurs in adults.

Source: NIDDK: Obesity, Physical Activity, and Weight-Control Glossary

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