Nguyen et al1 have brought to light informative data concerning the recent progress made in marshaling our surgical workforce resources to meet the tsunami of morbid obesity, which is at the leading edge of morbidity and mortality in the national obesity epidemic. Surgical intervention has proved to be the most effective method in achieving prolonged weight loss and reversing metabolic comorbidities in morbidly obese patients. This can be effectively done using either open or minimally invasive surgical techniques.2 The evolution of minimally invasive or laparoscopic surgical techniques for bariatric surgery has created a tremendous surge in enthusiasm among patients, primary care physicians, and surgeons. Bariatric surgery is no longer shunned as it once was in the 1970s and 1980s. The resurgence in and acceptance of the surgical treatment of morbid obesity were led by the evolution of a better bariatric operation: the current version of the Roux-en-Y gastric bypass. This, along with the advent of advanced minimally invasive techniques in the 1990s, led by Wittgrove et al3 and other surgeons, in conjunction with a national outcry from morbidly obese individuals, led by patient celebrities, has resulted in the exponential increase in laparoscopic approaches to treat morbid obesity.
Register and get free email Table of Contents alerts, saved searches, PowerPoint downloads, CME quizzes, and more
Subscribe for full-text access to content from 1998 forward and a host of useful features
Activate your current subscription (AMA members and current subscribers)
Purchase Online Access to this article for 24 hours
Thank you for submitting a comment on this article. It will be reviewed by JAMA Surgery editors. You will be notified when your comment has been published. Comments should not exceed 500 words of text and 10 references.
Do not submit personal medical questions or information that could identify a specific patient, questions about a particular case, or general inquiries to an author. Only content that has not been published, posted, or submitted elsewhere should be submitted. By submitting this Comment, you and any coauthors transfer copyright to the journal if your Comment is posted.
* = Required Field
Disclosure of Any Conflicts of Interest*
Indicate all relevant conflicts of interest of each author below, including all relevant financial interests, activities, and relationships within the past 3 years including, but not limited to, employment, affiliation, grants or funding, consultancies, honoraria or payment, speakers’ bureaus, stock ownership or options, expert testimony, royalties, donation of medical equipment, or patents planned, pending, or issued. If all authors have none, check "No potential conflicts or relevant financial interests" in the box below. Please also indicate any funding received in support of this work. The information will be posted with your response.
Some tools below are only available to our subscribers or users with an online account.
Download citation file:
Web of Science® Times Cited: 1
Customize your page view by dragging & repositioning the boxes below.
More Listings atJAMACareerCenter.com >
and access these and other features:
Enter your username and email address. We'll send you a link to reset your password.
Enter your username and email address. We'll send instructions on how to reset your password to the email address we have on record.
Athens and Shibboleth are access management services that provide single sign-on to protected resources. They replace the multiple user names and passwords necessary to access subscription-based content with a single user name and password that can be entered once per session. It operates independently of a user's location or IP address. If your institution uses Athens or Shibboleth authentication, please contact your site administrator to receive your user name and password.