Consensus Conference Statement. Bariatric surgery for morbid obesity: Health implications for patients, health professionals, and third-party payers

Henry Buchwald, H. Owen, Sarah Davidson Wangensteen, Charles J. Billington, Katherine M. Detre, Victor Garcia, Michael D. Jensen, David E. Kelley, Samuel Klein, William H. Danforth, J. Patrick O'Leary, George F. Sheldon, Thomas Wadden, Alan Wittgrove, Bruce M. Wolfe

Research output: Contribution to journalArticlepeer-review

276 Scopus citations

Abstract

Bariatric surgery, involving either open or laparoscopic techniques, is the most effective weight loss therapy available for patients with morbid obesity. Bariatric surgery results in marked and long-lasting weight loss and elimination or improvement of most obesity-related medical complications, including diabetes, hypertension, hyperlipidemia, obstructive sleep apnea, gastroesophageal reflux disease, cardiac dysfunction, osteoarthritis and low back pain, nonalcoholic fatty liver disease, intertriginous dermatitis, stress incontinence, symptoms of depression, and eating disorders; bariatric operations can also prevent obesity-related diseases (eg, type 2 diabetes). There is no single or standard surgical procedure for management of morbid obesity, and future studies will likely lead to modifications in current procedures and new surgical approaches.

Original languageEnglish (US)
Pages (from-to)371-381
Number of pages11
JournalSurgery for Obesity and Related Diseases
Volume1
Issue number3
DOIs
StatePublished - May 2005

Bibliographical note

Funding Information:
Organizer and Moderator: Walter J Pories, MD, Professor of Surgery and Biochemistry, Brody School of Medicine, East Carolina University, Greenville, NC; Host and Welcome Address: Stephen RT Evans, MD, Professor and Chairman, Department of Surgery, Georgetown University Hospital, Washington, DC; Keynote Speaker: Tommy Thompson, Secretary, Health and Human Services, US Department of Health and Human Services, Washington, DC; Steven Belle, PhD, MScHyg, Principal Investigator, Longitudinal Assessment of Bariatric Surgery (LABS) Consortium Coordinating Center, University of Pittsburgh Graduate School of Public Health, Pittsburgh, PA; Robert E Brolin, MD, Director of Bariatric Surgery, University Medical Center, Princeton, NJ, Professor of Surgery, University of Pittsburgh Medical Center, Pittsburgh, PA; J Kenneth Champion, MD, Clinical Professor of Surgery, Mercer University School of Medicine, Director of Bariatric Surgery, Emory-Dunwoody Medical Center, Atlanta, GA; George SM Cowan, Jr, MD, Professor Emeritus of Surgery, University of Tennessee, Memphis, TN; David E Cummings, MD, Associate Professor of Medicine, Division of Metabolism, Endocrinology and Nutrition, University of Washington, Seattle, WA; John B Dixon, MD, Senior Research Fellow, Centre for Obesity Research and Education, Monash University, Department of Surgery, Alfred Hospital, Melbourne, Australia; G Lynis Dohm, PhD, Professor of Physiology, Brody School of Medicine, East Carolina University, Greenville, NC; David R Flum, MD, MPH, Assistant Professor, Department of Surgery, Division of General Surgery, Adjunct, Assistant Professor Department of Health Services, University of Washington, Seattle, WA; Mal Fobi, MD, Center for Surgical Treatment of Obesity, Hawaiian Gardens, CA; Michel Gagner, MD, Professor of Surgery, Chief, Division of Bariatric Surgery, Weill College of Medicine, Cornell University, New York, NY; Douglas S Hess, MD, Wood County Hospital, Bowling Green, OH; Thomas Inge, MD, Assistant Professor of Surgery, University of Cincinnati, Cincinnati, OH; Kenneth B Jones, Jr, MD, Clinical Assistant Professor of Surgery, Louisiana State University Medical Center, Shreveport, LA; John G Kral, MD, PhD, Professor of Surgery and Medicine, SUNY Downstate Medical Center, Brooklyn, NY; Robert Kushner, MD, Professor of Medicine, Northwestern University, Feinberg School of Medicine, Medical Director, Wellness Institute, Northwestern Memorial Hospital, Chicago, IL; Kenneth G MacDonald, MD, Professor of Surgery, Brody School of Medicine, East Carolina University, Greenville, NC; Edward E Mason, MD, PhD, Professor Emeritus of Surgery, University of Iowa Hospitals and Clinics, Iowa City, IA; Ingmar Naslund, MD, PhD, Associate Professor, Department of Surgery, Örebro University Hospital, Örebro, Sweden; Jaime Ponce, MD, Medical Director for Bariatric Surgery, Hamilton Medical Center and, Dalton Surgical Group, Dalton, GA; Philip R Schauer, MD, Director of Advanced Laparoscopic and Bariatric Surgery, Cleveland Clinic Foundation, Cleveland, OH; Nicola Scopinaro, MD, Professor of Surgery, DICMI—University of Genoa, Ospedale San Martino, Genova, Italy; Scott A Shikora, MD, Associate Professor of Surgery, Tufts University School of Medicine, Tufts-New England Medical Center, Boston, MA; Harvey J Sugerman, MD, Emeritus Professor of Surgery, Virginia Commonwealth University, Richmond, VA.

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