In recent years, there has been a dramatic increase in the number of
bariatric surgical procedures performed in the United States and worldwide.1- 4 This
increase in bariatric surgery has occurred as a consequence of multiple factors.
First, the increased prevalence of obesity among both children and adults
in the United States has received much publicity in the medical community,
media, government, and the population in general. Despite this attention and
multiple calls for action at various levels, the obesity epidemic is progressive.5 Of particular concern is the alarming increasing prevalence
of obesity among children,5 suggesting that
the epidemic will worsen before it improves. Furthermore, it is estimated
that at least 5% of the adult population in the United States experiences
severe obesity, defined as a body mass index (BMI) greater than 40.5
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