Review
Current concepts
Treatment for morbid obesity
A R Carmichael
19 Water Meadows,
Fordwich, Canterbury, CT2 0BF, UK
Accepted 4 August 1998
There is no single unifying theory to explain the aetiology of
obesity but several environmental factors, such as decreased physical
activity and increased fat intake may contribute to its development in
genetically predisposed individuals. Dietary and pharmacological
treatments of morbid obesity have been proven to be unsuccessful.
Modern surgical treatments have been shown to be effective in achieving
significant weight loss with consequent reduction in morbidity. Despite
the fact that surgical treatment of morbid obesity is the only
therapeutic form that has stood the test of time, it still remains a
crisis-driven form of therapy in the UK. It is probable that a better
understanding of the aetiology and physiology of obesity may lead to
the development of an effective pharmacological treatment of obesity in
the future. However, until then, surgical treatment of morbid obesity
should be considered as an effective and efficient way of treatment in
selected cases.
Keywords: obesity
© 1999 by The Fellowship of Postgraduate Medicine
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[Abstract] [Full Text]
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