Bariatric Surgery: A Historical Perspective

  • Adam C. Celio
  • Walter J. Pories


Currently more than one third of Americans suffer from obesity. Of greater concern than one’s adiposity are obesity-related comorbidities such as diabetes, hypertension, asthma, infertility, and arthritis, among others. For nearly a century, diets, exercise, behavorial modifications, and drug therapies have proved to be an ineffective treatment. This chapter examines the evolution of bariatric surgery from its creation in the 1950s, with a focus on the effect of surgery on weight loss, comorbidity reduction, and patient safety. Bariatric surgery has been a remarkable success. For the first time, it is possible to curve severe obesity, diabetes, and hyperlipidemia in addition to the many other manifestations of obesity with remarkable safety. Equally important are the opportunities for research afforded by the measurement of outcomes. Until better treatments become available, bariatric surgery is the therapy of choice for patients with morbid obesity for weight control and comorbidity improvement.


Bariatric Obesity Metabolic surgery Intestinal bypass Gastric bypass Gastric sleeve Gastric band Gastric balloon 


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Copyright information

© Springer International Publishing AG, part of Springer Nature 2018

Authors and Affiliations

  1. 1.Department of Surgery, Brody School of MedicineEast Carolina UniversityGreenvilleUSA

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