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  Vol. 288 No. 22, December 11, 2002 TABLE OF CONTENTS
  JAMA
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  Contempo Updates: Linking Evidence and Experience
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Bariatric Surgery and Long-term Control of Morbid Obesity

Robert E. Brolin, MD

JAMA. 2002;288:2793-2796.

Since this article does not have an abstract, we have provided the first 150 words of the full text and any section headings.

INTRODUCTION

Obesity, defined as 20% or more than the ideal weight or body mass index (BMI, calculated as weight in kilograms divided by the square of height in meters) of 30 or more, has reached epidemic levels in the United States, affecting more than 30% of adults.1 Annual direct costs for treating obesity-related medical illnesses have been estimated at nearly $51.6 billion; the annual US expenditure on weight reduction exceeds $30 billion.2-3 It was recently estimated that the prevalence of obesity in US adults increased by 8% during the past decade. In the 21st century, obesity may be the number 1 US public health problem (http://www.surgeongeneral.gov/topics/obesity/).

Morbid or severe obesity was traditionally defined as a weight of 45 kg or more or 100% over ideal body weight defined by standard life insurance tables. More recent classification systems define morbid obesity as a BMI of 40 . . . [Full Text of this Article]

Gastric Restrictive Operations

Malabsorptive Operations

Outcome Measures

Selection Criteria

Amelioration of Medical Problems

Conclusion

Author Affiliations: Bariatric Surgery, Saint Peter's University Hospital, New Brunswick, NJ, and Department of Surgery, University of Pittsburgh Medical Center, Pittsburgh, Pa.



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