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Gastrointestinal Surgery for Severe Obesity

Consensus Development Conference Panel*
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An edited summary of a Consensus Development Conference held from 25 to 27 March 1991 at Masur Auditorium, Building 10, National Institutes of Health, Bethesda, Maryland. The Conference was sponsored by the National Institute of Diabetes and Digestive and Kidney Diseases (Phillip Gorden, MD, Director) and the Office of Medical Applications of Research, National Institutes of Health.Authors who wish to cite the conference may use this example for the form of reference:Consensus Development Conference Panel. Gastrointestinal surgery for severe obesity: Consensus Development Conference statement. Ann Intern Med. 1991:115:956-961.*For participating organizations and investigators, see end of text.


Ann Intern Med. 1991;115(12):956-961. doi:10.7326/0003-4819-115-12-956
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▪ Surgeons, gastroenterologists, endocrinologists, psychiatrists, nutritionists, and other health care professionals, as well as members of the public convened to address nonsurgical treatments for severe obesity, surgical treatments for severe obesity, and criteria for selection, the efficacy, and risks of surgical treatments for severe obesity, and the need for future research on and epidemiologic evaluation of these therapies.

The National Institutes of Health Consensus Development Panel recommended that patients seeking therapy for severe obesity for the first time should be considered for treatment in a nonsurgical program that integrates a dietary regimen, appropriate exercise, behavior modification, and psychological support; that gastric restrictive or bypass procedures could be considered for well-informed and motivated patients in whom the operative risks were acceptable; that patients who are candidates for surgical procedures should be selected carefully after evaluation by a multidisciplinary team with medical, surgical, psychiatric, and nutritional expertise; that surgery be done by a surgeon who has substantial experience in the particular procedure and who works in a clinical setting with adequate support for all aspects of management and assessment; and that patients undergo lifelong medical surveillance after surgery.

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