BAOJ Diabetes Robert Cucin MD, JD, MBA, FACS, BAOJ Diabet 2017, 3: 3 3: 027
Letter to editor
Mckinsey’s obesity Prevalence Projections may be Low! A New Approach, Endoscopic Visceral Lipectomy Evl May offer a Solution Robert Cucin MD, JD, MBA, FACS* Weill Cornell Medical College, Greater New York City Area, USA
McKinsey Global Institute has projected that by 2030, 50% of the world’s population will be obese and the annual cost of Obesityrelated disease expenditures will have risen to $17,000,000,000,000. An article in the Arab News reported that 70% of the Saudi’s are obese. With Obesity and Type 2 Diabetes galloping along in developed nations, the terrifying fact is that McKinsey’s projections may underestimate the problem! Let us hope that, by allowing us to directly and safely remove the visceral fat that is the origin of the problem, Endoscopic Visceral Lipectomy (“EVL”) can avoid the progression of Obesity and Type 2 Diabetes and reverse it, and give us a weapon to slow the rising prevalence of this disease. EVL offers hope to the 2.1 Billion people about the globe who may benefit from it.
sleep apnea and gastric reflux. There are some healthy obese patients, mostly younger patients who exercise regularly, who haven’t yet developed metabolic syndrome or who are genetically gifted not to do so. The Public Enemy #1 is the Type II Diabetes associated with the metabolic syndrome which frequently complicates Obesity. There are an estimated 29 million Type II Diabetics in the U.S. Type II Diabetes is the leading cause of kidney failure needing dialysis, the most frequent indication for non-traumatic amputations, and a leading cause of blindness.
As it is the visceral or “belly fat” within the abdomen which secretes resistin, a cellular hormone which antagonizes the body’s own insulin to cause Type II Diabetes, reducing the size of that noxious cytokine factory which functions as a life-shortening gland with Endoscopic Visceral Lipectomy (EVL) is a direct approach to the AP (3/8/17) reported that fewer obese people are trying to lose problem. Incidentally, the patient might cinch his or her belt a weight than in prior years and researchers wonder if fat acceptance notch or two right off the operating table and is expected loose could be one of the reasons. Given enlarging meal portions, a great deal of body weight afterwards. But the restoration of mainstream plus size models, re-scaling of clothing sizes, and normal metabolism and amelioration of Type II Diabetes is the popular overweight leads in sitcoms, the hypothesis seems not immediate goal of the procedure. Though less attention by patients just tenable but proven. The frequent inability of patients to keep to their weight is not at all a pleasing finding for physicians, it does weight off after losing it with diet and exercise, or sometimes suggest the public has already recognized the need to retarget our even after bariatric surgery undoubtedly contributes to this shift. emphasis! EVL does so. It is not at all unlikely that the political correctness to avoid the subject of weight also prevents some of the peer pressure that *Corresponding author: Robert Cucin MD, JD, MBA, FACS, Clinical Inmight conceivably reinforce the dieter’s decision to pass up that structor, Weill Cornell Medical College, Greater New York City Area, extra French fry. USA, E-mail: [email protected]
Some studies have implicated some infections that could be partially behind the obesity epidemic. Researchers have found evidence to suggest that infection with the common Adenovirus-36 leads the body to create more and fatter stem cells. The author concludes the AP report alone suggests that Obesity is at least socially contagious because the increased prevalence of Obesity has already spurred a change in social mores. Obesity is not the morbidity itself though it does create a cardiovascular load, mechanical stress on the joints, and promote
BAOJ Diabet, an open access journal
Sub Date: June 6, 2017, Acc Date: June 20, 2017, Pub Date: June 21, 2017. Citation: Robert Cucin MD, JD, MBA, FACS (2017) Mckinsey’s obesity Prevalence Projections may be Low! A New Approach, Endoscopic Visceral Lipectomy Evl May offer a Solution. BAOJ Diabet 3: 027. Copyright: © 2017 Robert Cucin MD, JD, MBA, FACS. This is an openaccess article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
Volume 3; Issue 3; 027