Surgical treatment of morbid obesity remains the most effective modality available. Procedures have evolved over the past 50 years and have utilized caloric restriction and malabsorption, alone or in combination. Optimizing outcome and preserving good nutrition health is the goal of the multidisciplinary care that these patients need. The objective of this article is to review the evolution of bariatric surgery with an emphasis on the current procedures being performed in the United States. Recommendations for diet and vitamin/mineral supplementation for specific procedures are reviewed, as well as identification and management of some procedure-related complications.
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