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Surgery for Morbid Obesity

Surgery for Morbid Obesity This article is only available in the PDF format. Download the PDF to view the article, as well as its associated figures and tables. Abstract In the preface, Dr Linner outlines the two main problems in bariatric surgery. First, he notes the general reluctance of physicians to accept the concept that morbid obesity is a disease rather than a simple lack of willpower. The second and more serious concern arises from the failure of surgical therapy to control effectively morbid obesity. The chief shortcomings are the late complications from jejunoileal bypass and the inability of many gastric reduction procedures to maintain the usual early weight loss: "It is to these concerns that this book is addressed." The first chapter, "Medical Aspects of Morbid Obesity," deals with the concept of obesity as a disease. The author comes to the currently popular conclusion that "the hypothalamus is the ultimate integrator of energy balance." Presumably, the gastric reduction procedure relays signals to this center, readjusting the "set point," thus decreasing the patient's appetite. Narrowing the lower esophagus fails http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Archives of Surgery American Medical Association

Surgery for Morbid Obesity

Archives of Surgery , Volume 119 (11) – Nov 1, 1984

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Publisher
American Medical Association
Copyright
Copyright © 1984 American Medical Association. All Rights Reserved.
ISSN
0004-0010
eISSN
1538-3644
DOI
10.1001/archsurg.1984.01390230114033
Publisher site
See Article on Publisher Site

Abstract

This article is only available in the PDF format. Download the PDF to view the article, as well as its associated figures and tables. Abstract In the preface, Dr Linner outlines the two main problems in bariatric surgery. First, he notes the general reluctance of physicians to accept the concept that morbid obesity is a disease rather than a simple lack of willpower. The second and more serious concern arises from the failure of surgical therapy to control effectively morbid obesity. The chief shortcomings are the late complications from jejunoileal bypass and the inability of many gastric reduction procedures to maintain the usual early weight loss: "It is to these concerns that this book is addressed." The first chapter, "Medical Aspects of Morbid Obesity," deals with the concept of obesity as a disease. The author comes to the currently popular conclusion that "the hypothalamus is the ultimate integrator of energy balance." Presumably, the gastric reduction procedure relays signals to this center, readjusting the "set point," thus decreasing the patient's appetite. Narrowing the lower esophagus fails

Journal

Archives of SurgeryAmerican Medical Association

Published: Nov 1, 1984

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