PMID: 9179140Jun 1, 1997Paper

Surgical treatment of obesity: who is an appropriate candidate?

Mayo Clinic Proceedings
B M BalsigerM G Sarr

Abstract

The increasing prevalence and far-reaching medical, social, and economical implications of obesity have made it a national health-care crisis in the United States. About one in every three persons is at least 20% above "ideal" body weight, and approximately 5% have direct weight-related serious health problems (morbid obesity), including hypertension, hyperlipidemia, coronary artery disease, adult-onset diabetes mellitus, degenerative osteoarthropathy, and obstructive sleep apnea. Morbidly obese patients have an estimated 6- to 12-fold increase in mortality. In addition, they have a substantially diminished quality of life, not only physically but also psychosocially due to overt and occult prejudice. Weight reduction must be aggressively pursued in these patients. Medically supervised weight-control programs have been ineffective because patients cannot maintain pronounced long-term weight loss. In contrast, current operative methods have been proved to be effective in helping patients achieve and maintain permanent weight reduction. Several operations have been designed and assessed; with these procedures, weight loss is achieved by inducing malabsorption, maldigestion, early satiety, or a combination of these outcomes. Altho...Continue Reading

Citations

Apr 9, 1999·Journal of Laparoendoscopic & Advanced Surgical Techniques. Part a·R WeinerH Bockhorn
Feb 6, 2004·Postgraduate Medicine·Rebecca Mattison, Michael D Jensen
Mar 16, 2007·Obesity Surgery·Leandro Genehr FritscherJosé Miguel Chatkin
Jan 18, 2003·International Journal of Obesity and Related Metabolic Disorders : Journal of the International Association for the Study of Obesity·N PugnaleP Burckhardt
Jan 2, 2007·Annals of Surgery·Heena P SantryMarshall H Chin
Oct 18, 2002·AORN Journal·Cynthia J Barrow
Feb 3, 2005·Der Chirurg; Zeitschrift für alle Gebiete der operativen Medizen·C StrohT Manger
Feb 26, 2005·Plastic and Reconstructive Surgery·Joubin S GabbayDavid A Kulber
Aug 30, 2008·Obesity Surgery·Nir WasserbergHoward S Kaufman
Dec 9, 2000·The Journal of Arthroplasty·J ParviziM G Sarr

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