There is no quick fix, even if we could provide bariatric surgery for the masses.
Bariatric surgery "can change how the body absorbs food, liquids, vitamins, nutrients and medications, " the clinic said.
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At the other end of the spectrum are heroic approaches such as bariatric surgery, particularly for the morbidly obese.
Bariatric surgery's complications, price and growing frequency have put it under a spotlight.
He also said that research had shown that bariatric surgery was proving to be an "incredibly successful and cost-effective treatment".
In all, 33 highly skilled surgeons, who were certified by the Longitudinal Assessment of Bariatric Surgery Consortium, conducted the operations.
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Many people who have bariatric surgery gain the weight back, so insurance companies are often wary of paying for the procedure.
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"As the art of bariatric surgery has evolved, it's become safer, and this study is proof of that evolution, " he said.
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Dr. Scott Shikora, president of the American Society for Metabolic and Bariatric Surgery, said he hasn't been impressed with the results.
The American Society for Metabolic and Bariatric Surgery says that about 200, 000 people in the U.S. have weight loss surgery each year.
Even with the risks of an operation factored in, bariatric surgery can be a lifesaver, particularly for people who are very obese.
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The American Society for Bariatric Surgery which had 258 members in 1998 and now lists more than 1, 100 will meet in June to discuss techniques.
When her insurance company announced that bariatric surgery, or weight-loss surgery, would be covered under the couple's plan, she told her husband about it.
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The American Society for Bariatric Surgery and the American College of Surgeons have guidelines for hospitals to follow when awarding surgical privileges, but they're unenforceable.
Her sister phoned to tell her she was getting bariatric surgery.
Chris Eagon, head of bariatric surgery at Washington University in St.
And finally, for some, bariatric surgery can result in life-changing outcomes.
Last year the NHS carried out more than 8, 000 weight loss operations, sometimes called bariatric surgery, and the number is rising by about 10% a year.
The gold-standard bariatric surgery is called Roux-en-Y gastric bypass, in which surgeons both shrink the stomach and reroute the digestive tract to bypass a portion of the intestines.
But not all bariatric surgery centers are equal, says Shekelle.
In his view a surgeon who wants to perform even minimally invasive bariatric surgery should attend specific courses, take fellowships and operate under the trained eye of an expert surgeon.
Gastric bypass is a form of bariatric surgery--from the Greek barys (heavy)--which was on the fringes of medicine just a decade ago but has now gone mainstream with a vengeance.
Despite the risks, bariatric surgery offers not just a new shape and a healthier future, but self-respect: even in America, the fattest nation on the planet, the thin have more fun.
It could minimize risks encountered in standard bariatric surgery.
Sugerman worries that bariatric surgery will become uninsurable.
There are several types of bariatric surgery.
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They are offered every possible medical intervention, including quadruple-bypass surgery and dialysis (for Olimpia, a grandmother with a slim chance of survival) and bariatric surgery (for Marta, a younger family member who can't lose a pound on her own).
Though the mortality rate for bariatric surgery, according to the most recent (2002) report from the International Bariatric Surgery Registry, is 0.3% during the first 30 days after surgery, it's lower than the 1% for a hip replacement and 2.8% for heart bypass surgery.
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