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The SAGES Manual pp 9–22Cite as

Overview of Bariatric Operations

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Overweight, obesity, and morbid obesity, defined as body mass indices greater than or equal to 25, 30, and 40 kg/m2, respectively, constitute a burgeoning global epidemic. Approximately 30% of Americans are obese, of whom over 5 million suffer from morbid obesity. For the latter cohort, bariatric surgery is the only effective means to achieve significant weight loss with improvement or resolution of comorbid diseases. The field of bariatric surgery began over 50 years ago and has grown steadily and, over the last decade, explosively, with over 100,000 procedures performed annually in the United States.

The purpose of this chapter is to present the reader with a framework for understanding the numerous described bariatric surgical procedures along with their historical development. The evolution of these operations has not been a linear process, as previously abandoned procedures have been modified and reintroduced. As newer technologies emerge, this framework will permit the reader to compare their function, advantages, and limits of use to existing procedures.

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Author information

Authors and Affiliations

  1. Department of Surgery, Bariatric Program, Saint Agnes Medical Center, Fresno, CA

    Daniel E. Swartz

  2. Advanced Bariatric Center, Assistant Clinical Professor, UCSF-Fresno, Director of Bariatric Surgery, Clovis Community Medical Center, Fresno, CA

    Edward L. Felix

Authors
  1. Daniel E. Swartz
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  2. Edward L. Felix
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Editor information

Editors and Affiliations

  1. Division of Gastrointestinal and Bariatric Surgery, University of California, Irvine Medical Center, Orange, CA, USA

    Ninh T. Nguyen MD (Associate Professor of Surgery, Chief) (Associate Professor of Surgery, Chief)

  2. Duke University, Durham, NC, USA

    Eric J. De Maria MD (Professor and Vice Chairman, Network General Surgery, Director, Bariatric and EndoSurgery) (Professor and Vice Chairman, Network General Surgery, Director, Bariatric and EndoSurgery)

  3. University of Minnesota, Minneapolis, MN, USA

    Sayeed Ikramuddin MD (Associate Professor of Surgery, Co-Director, Minimally Invasive Surgery, Director, Gastrointestinal Surgery, Katherine and Robert Goodale Chair in Minimally Invasive Surgery) (Associate Professor of Surgery, Co-Director, Minimally Invasive Surgery, Director, Gastrointestinal Surgery, Katherine and Robert Goodale Chair in Minimally Invasive Surgery)

  4. Department of Surgery, Massachusetts General Hospital, Boston, MA, USA

    Matthew M. Hutter MD, MPH (Director, Codman Center of Clinical Effectiveness in Surgery) (Director, Codman Center of Clinical Effectiveness in Surgery)

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Swartz, D.E., Felix, E.L. (2008). Overview of Bariatric Operations. In: Nguyen, N.T., De Maria, E.J., Ikramuddin, S., Hutter, M.M. (eds) The SAGES Manual. Springer, New York, NY. https://doi.org/10.1007/978-0-387-69171-8_2

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  • DOI: https://doi.org/10.1007/978-0-387-69171-8_2

  • Publisher Name: Springer, New York, NY

  • Print ISBN: 978-0-387-69170-1

  • Online ISBN: 978-0-387-69171-8

  • eBook Packages: MedicineMedicine (R0)

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