Surgery is Not Essential Treatment in Super Obese Patients

Frequency of obesity is gradually increasing in our country as all the world. Obesity causes lots of diseases in particular to diabetes melitus. The treatment of obesity is a life-long continuing and a long-term treatment. Changing life style is underlining of treatment. We can add pharmacological treatment or surgical treatment with changing life style which include medical nutrition treatment,doing exercising and behavioral threapy for appropriate case. We administered treatment changing life style and pharmacological treatment 3 super obese in this case report. Changing life style inclusive of medical nutrition threapy(nutrition programme which include 55% of the carbohydrate with low calories and low glisemic index) was administered treatment by doctor. Orlistat prescribed for patient also orlistat together with Eksenatid prescribed for diabetes melitus . one patient was lost about fiftyfour kilograms for 3 years, another patients was lost about sixtyone kilograms for 2 years and the other patients was lost about thirtytwo kilograms about one year. Consequently, super obese case can lose weight in the long time and they can maintain their’s weight in the power of doctor’s appropriate treatment