About Us
Obesity has become a significant global issue, including in Indonesia. Obesity, or the excess of body weight and fat, is not just a cosmetic problem but also has serious health implications. If left untreated, obese patients may face complications that can be summarized as the 4Ms: metabolic, mechanical, mental, and monetary. Metabolic issues include diabetes, cholesterol disorders, high blood pressure, fatty liver, infertility, and cancer. Mechanical problems include joint degeneration, acid reflux disease, snoring, and urinary tract issues. Mental health concerns involve mood disorders, anxiety, sleep disturbances, and depression. Additionally, monetary problems relate to the direct costs of treatment and the indirect costs due to lost work opportunities.
The Integrated Obesity Clinic (IOC) at Dr. Cipto Mangunkusumo National Hospital is a new service for obese patients, emphasizing a multidisciplinary and patient-centered approach. In this service, patients are not treated by just one doctor but by a team that includes specialists in internal medicine, endocrinology, metabolism and diabetes, clinical nutrition, physical medicine and rehabilitation, psychiatry, and, if necessary, consultation with specialists in digestive surgery and gastroenterology. Each patient visiting the IOC is assessed by their respective doctors, and the case is then discussed with the obesity team to determine the next treatment plan. Some patients may only need diet therapy and physical activity, while others may require medical assistance or interventions such as gastric balloon placement or bariatric surgery.
Currently, bariatric surgery and intragastric balloon placement have been performed on IOC patients with promising results. It is hoped that with the IOC, the management of obese patients will become more comprehensive, reducing complications and improving the quality of life for patients.
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