0
We're unable to sign you in at this time. Please try again in a few minutes.
Retry
We were able to sign you in, but your subscription(s) could not be found. Please try again in a few minutes.
Retry
There may be a problem with your account. Please contact the AMA Service Center to resolve this issue.
Contact the AMA Service Center:
Telephone: 1 (800) 262-2350 or 1 (312) 670-7827  *   Email: subscriptions@jamanetwork.com
Error Message ......
JAMA Patient Page |

Bariatric Surgery FREE

Janet M. Torpy, MD; Cassio Lynm, MA; Edward H. Livingston, MD
JAMA. 2012;308(11):1173. doi:10.1001/2012.jama.11700.
Text Size: A A A
Published online

Millions of individuals in the United States and around the world are overweight or obese (severely overweight). When weight increases to an extreme level, it is called morbid obesity. Obesity is associated with diabetes, heart disease, high blood pressure, some types of cancer, and other medical problems. Bariatrics is the field of medicine that specializes in treating obesity. Bariatric surgery is the term for operations to help promote weight loss. Bariatric surgical procedures are considered only for people with severe obesity (having a body mass index greater than 40 [about 100 pounds overweight], or having a body mass index greater than 35 [about 50 pounds overweight] with established complications of obesity) and not for individuals with a mild weight problem. This Patient Page is based on one previously published in the February 10, 2010, issue of JAMA.

OBESITY

Body mass index (BMI) is a standard way to define overweight, obesity, and morbid obesity. The BMI is calculated based on a person's height and weight—weight in kilograms (2.2 pounds per kilogram) divided by the square of height in meters (39.37 inches per meter). A BMI of 25 or more is considered overweight; 30 or more, obese; and 40 or more, morbidly obese. Bariatric surgery may be offered to patients with severe obesity when medical treatments, including lifestyle changes of healthful eating and regular exercise, have not been effective.

CONSIDERATIONS FOR BARIATRIC SURGERY

Individuals considering bariatric surgery must discuss risks and possible benefits with their doctor. Bariatric surgery has associated risks and long-term consequences and should be considered only one part of an approach to treating obesity. Most bariatric surgeons think that the operations work best when they help promote lifelong behavioral and dietary changes. Long-term follow-up with doctors experienced in the care of patients having these procedures, as well as lifelong vitamin supplementation, is essential to avoid life-threatening complications.

FOR MORE INFORMATION

INFORM YOURSELF

To find this and previous JAMA Patient Pages, go to the Patient Page link on JAMA 's website at www.jama.com. Many are available in English and Spanish.

Sources: American Society of Bariatric Physicians, National Institute of Diabetes and Digestive and Kidney Diseases, American Obesity Organization, Centers for Disease Control and Prevention, The Obesity Society

The JAMA Patient Page is a public service of JAMA. The information and recommendations appearing on this page are appropriate in most instances, but they are not a substitute for medical diagnosis. For specific information concerning your personal medical condition, JAMA suggests that you consult your physician. This page may be photocopied noncommercially by physicians and other health care professionals to share with patients. To purchase bulk reprints, call 312/464-0776.

Topic: OBESITY

Tables

References

CME
Also Meets CME requirements for:
Browse CME for all U.S. States
Accreditation Information
The American Medical Association is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians. The AMA designates this journal-based CME activity for a maximum of 1 AMA PRA Category 1 CreditTM per course. Physicians should claim only the credit commensurate with the extent of their participation in the activity. Physicians who complete the CME course and score at least 80% correct on the quiz are eligible for AMA PRA Category 1 CreditTM.
Note: You must get at least of the answers correct to pass this quiz.
Your answers have been saved for later.
You have not filled in all the answers to complete this quiz
The following questions were not answered:
Sorry, you have unsuccessfully completed this CME quiz with a score of
The following questions were not answered correctly:
Commitment to Change (optional):
Indicate what change(s) you will implement in your practice, if any, based on this CME course.
Your quiz results:
The filled radio buttons indicate your responses. The preferred responses are highlighted
For CME Course: A Proposed Model for Initial Assessment and Management of Acute Heart Failure Syndromes
Indicate what changes(s) you will implement in your practice, if any, based on this CME course.

Multimedia

Spanish Patient Page: Cirugía bariátrica

Supplemental Content

Some tools below are only available to our subscribers or users with an online account.

Related Content

Customize your page view by dragging & repositioning the boxes below.

Articles Related By Topic
Related Collections
PubMed Articles