A Predicted Future for Bariatric Surgery: Using the Surgical Model.
Bariatric surgery is the only currently available, effective, long-term method for controlling morbid obesity. 'Long-term' non-surgical, medical, voluntary weight loss data is rare; where it exists, it averages only 5-10% of patients' total body weight - of minimal long-term value for the morbidly obese - and has a consistently high failure rate, with many patients ultimately progressing to disability, End-Stage Obesity Syndrome or premature death. The author predicts that the time will come when most members of the lay and medical communities accept that bariatric surgery is the conservative approach to treatment for the morbidly obese. The mechanism will be by bariatric surgeons gathering and reporting data on their morbidly obese patients from the options presented. Data collection may take the form of controlled, randomized, descriptive, case or group studies of surgical and nonsurgical therapies upon patients' psycho-socioeconomic-physical-behavioral-medical co-morbidities. Stressed is the concept that all bariatric surgeons have the capability and the implied duty to analyze their patients' data and disseminate the results, in part to achieve the predicted improvement in medical and lay acceptance of bariatric surgery as a conservative concept.
Cowan
GS
University of Tennessee College of Medicine, Department of Surgery, Memphis, TN, 38163, USA.