ABSTRACT

Morbid obesity has achieved epidemic proportions in the United States. A vast num­ber of comorbid conditions are associated with morbid obesity, including metabolic syndrome, which consists o f central obesity, insulin resistance, hypertension, and hyperlipidemia. An association between obesity and intra-abdominal hypertension has been demonstrated, which explains the predisposition to pseudotumor cerebri, hypertension, pul­ monary disorders, stress urinary incontinence, gastroesophageal reflux, and incisional hernia in morbid obesity. Weight loss results in a reduction in intra-abdominal pressure and resolution of comorbidities.