Surgery for morbid obesity
- Department of Upper Gastrointestinal Surgery, Norfolk and Norwich University Hospital NHS Trust, Norwich, UK
- Correspondence to: MrM Rhodes Department of Upper Gastrointestinal Surgery, Norfolk and Norwich University Hospital NHS Trust, Colney Lane, Norwich NR4 7UY, UK; mr{at}lapsurgeon.co.uk
- Received 19 April 2006
- Accepted 2 June 2006
Abstract
The prevalence of morbid obesity in the UK population is rising, bringing with it increased levels of cardiovascular disease, diabetes, arthritis and early mortality. The overall cost to the health service is high, and is set to increase over the coming decades as the overweight population ages. Dietary, lifestyle and pharmacological interventions offer at best reasonable, short-term weight reduction and often fail. Surgical intervention is a safe and effective means of delivering marked long-term weight reduction. This article compares and contrasts the options available for surgical treatment of morbid obesity based on a review of the current literature.
- BMI, body mass index
- BPD, biliopancreatic diversion
- EWL, excess weight loss
- LAGB, laparoscopic gastric banding
- NICE, National Institute for Health and Clinical Excellence
- RYGBP, Roux-en-Y gastric bypass
- VBG, vertical banded gastroplasty
Footnotes
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Competing interests: None.







