Surgical Therapy for Obesity

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Abstract
The difficulty of assessing the proper role of surgery in the treatment of morbid obesity results from the lack of adequate information for making three decisions: selection of patients, choice of operation, and determination of the long-term benefits of therapy. The paper by Hocking et al.1 provides useful guidance concerning the second of these decisions. To understand the importance of their article, one should first consider the rationales for the other two.The choice of patients for the surgical treatment of obesity has been based on an arbitrary definition of morbid obesity.2 The usual definition conforms to that used by . . .

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