0
We're unable to sign you in at this time. Please try again in a few minutes.
Retry
We were able to sign you in, but your subscription(s) could not be found. Please try again in a few minutes.
Retry
There may be a problem with your account. Please contact the AMA Service Center to resolve this issue.
Contact the AMA Service Center:
Telephone: 1 (800) 262-2350 or 1 (312) 670-7827  *   Email: subscriptions@jamanetwork.com
Error Message ......
Invited Critique |

Slimming Down for Safer Surgery:  Comment on “Preoperative Weight Loss Before Bariatric Surgery”

Patricia L. Turner, MD
Arch Surg. 2009;144(12):1155-1156. doi:10.1001/archsurg.2009.214.
Text Size: A A A
Published online

Extract

Morbid obesity is a significant health problem for which bariatric surgery has been demonstrated to be the most effective and durable treatment. This surgery reduces excess body weight and improves comorbidities, satisfaction, and quality of life. The number of weight-loss operations performed yearly continues to escalate, and previously held limitations on patient selection—age, BMI, and presence of preoperative disease—are now being reconsidered because of the significant health benefits conferred by successful weight loss and treatment of the metabolic syndrome. Strategies to further improve outcomes after bariatric surgery are, therefore, of significant interest, because there is often less room for adverse events with morbidly obese patients than in patients with fewer comorbidities or those of healthy weight. Postoperative complications in the former population can be particularly difficult to manage and deadly. The authors retrospectively review data from hundreds of consecutive patients who had undergone an open or laparoscopic weight-loss procedure and demonstrate that complications can be reduced with aggressive preoperative weight loss.

Sign in

Create a free personal account to sign up for alerts, share articles, and more.

Purchase Options

• Buy this article
• Subscribe to the journal

First Page Preview

View Large
/>
First page PDF preview

Figures

Tables

References

Correspondence

CME
Meets CME requirements for:
Browse CME for all U.S. States
Accreditation Information
The American Medical Association is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians. The AMA designates this journal-based CME activity for a maximum of 1 AMA PRA Category 1 CreditTM per course. Physicians should claim only the credit commensurate with the extent of their participation in the activity. Physicians who complete the CME course and score at least 80% correct on the quiz are eligible for AMA PRA Category 1 CreditTM.
Note: You must get at least of the answers correct to pass this quiz.
You have not filled in all the answers to complete this quiz
The following questions were not answered:
Sorry, you have unsuccessfully completed this CME quiz with a score of
The following questions were not answered correctly:
Commitment to Change (optional):
Indicate what change(s) you will implement in your practice, if any, based on this CME course.
Your quiz results:
The filled radio buttons indicate your responses. The preferred responses are highlighted
For CME Course: A Proposed Model for Initial Assessment and Management of Acute Heart Failure Syndromes
Indicate what changes(s) you will implement in your practice, if any, based on this CME course.
NOTE:
Citing articles are presented as examples only. In non-demo SCM6 implementation, integration with CrossRef’s "Cited By" API will populate this tab (http://www.crossref.org/citedby.html).
Submit a Comment

Multimedia

Some tools below are only available to our subscribers or users with an online account.

Sign in

Create a free personal account to sign up for alerts, share articles, and more.

Purchase Options

• Buy this article
• Subscribe to the journal

Related Content

Customize your page view by dragging & repositioning the boxes below.

See Also...
Articles Related By Topic
Related Topics
PubMed Articles
Jobs
brightcove.createExperiences();