Bariatric surgery: The solution to a big problem?

摘要

Although behavioral and medical therapies for obesity management are both safe and effective, weight loss achieved with nonsurgical interventions is not adequate to prevent or reverse obesity-related comorbid conditions for the overwhelming majority of patients with body mass index (BMI) >40kg/m During the 1960s and 1970s, jejunoileal bypass surgery revolutionized the treatment of morbid obesity. In this procedure, ~ 1 ft of the proximal jejunum is anastomosed to the terminal part of the ileum. Patients generally lost 50-60 kg in the first year, but its use was limited by severe com-plications, including liver failure and malnutrition