Techniques and Procedures: Surgical Treatment for Severe Obesity: The State-of-the-Art for the New Millennium

Abstract

Obesity is becoming an ever-increasing health concern for the Western world. As the incidence rises, so do the health care costs. For patients with extreme obesity, surgical treatments have evolved into safe and effective options. The current procedures have grown from the experience obtained over 30 years of evolution. This accumulated knowledge, along with the introduction of minimally invasive techniques, may further improve the safety of these procedures. As we enter the new millennium, the current surgical techniques, in conjunction with the many aspects of a multidisciplinary approach to patient screening, preparation, and aftercare, offer the best treatment option for these patients. A thorough understanding of the procedures, including the potential long-term considerations, is also critical to minimize problems and maximize success.