We're unable to sign you in at this time. Please try again in a few minutes.
We were able to sign you in, but your subscription(s) could not be found. Please try again in a few minutes.
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 ......
Article |

Surgery for Morbid Obesity

Arch Surg. 1984;119(11):1352-1353. doi:10.1001/archsurg.1984.01390230114033.
Text Size: A A A
Published online


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


Sign in

Purchase Options

• Buy this article
• Subscribe to the journal
• Rent this article ?

First Page Preview

View Large
First page PDF preview





Also 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.
Please click the checkbox indicating that you have read the full article in order to submit your answers.
Your answers have been saved for later.
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.


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

0 Citations

Sign in

Purchase Options

• Buy this article
• Subscribe to the journal
• Rent this article ?

Related Content

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