Surgery for the Morbidly Obese Patient

Arch Surg. 1990;125(6):809. doi:10.1001/archsurg.1990.01410180135023.
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Obesity is probably the most common disease affecting Western society in the 1990s. It has a significant effect on patients physically, emotionally, socially, and economically. The long-term medical management of morbid obesity is not very satisfactory. Therefore, during the last decade or so, the surgical therapy of morbid obesity has assumed gradually increasing importance.

Obesity affects approximately 30% of the adult population older than 30 years, and morbid obesity (ie, when the surplus body weight reaches more than 100% above the ideal) affects more than 5% of the adult population. Dr Deitel's book is an excellent compendium on this subject. The title is somewhat of a misnomer because the book not only deals with the "surgery" for obesity, but also provides an appreciation of the basic principles of obesity. In the various chapters, the indications and history of various obesity operations are discussed in great detail, including complications, results, and


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