Most of indonesian are overweight. Obesity is a major public health problem that is responsible for increased risk of cardiac disease. The cause of obesity is unknown, but genetic, endocrine and psychogenic factors are probably important. There are several morbid conditions that associated with severe obesity, for example coronary artery disease, hypertension, thromboembolism, type 2 diabetes, cholelithiasis, colon cancer, breast cancer and obstructive sleep apnea. Obesity also increase operative risk in gastrointestinal surgery, not only because of the attendant comorbid conditions, but also because the procedures become technically more difficult, leading to operative complications.
Medical treatment of obesity is based on caloric restriction, lifestyle, exercise and long term behavior modifications. Several drugs have been used to curb appetite, sometimes with disastrous side effects. The search for the ideal drug continues and, with improved understanding of the mechanisms of satiety signals, success is likely.
A new hope for obesity and severe obesity, recommendation for surgical treatment. Bariatric surgeons team for optimal patient selection and post operative follow up. Candidates are those with a BMI of 35 to 40 kg/m2 and those with comorbid conditions. The two most popular operations are sleeve gastrectomy and roux-en-y gastric bypass. Today, operations can be performed by laparoscopically with minimal scars. There are only minimal complications of these procedure. So new hope is coming to our life.