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A New Contraindication for Obesity Surgery

Marc A. Pomerantz, MD
JAMA. 1985;253(1):44. doi:10.1001/jama.1985.03350250052021.
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To the Editor.—  Since 1978, I have performed 160 gastric restriction procedures for weight loss at Rush-Presbyterian-St Luke's Medical Center in Chicago. Patients ranged in age from 12 to 62 years. All were more than 90% above their ideal weight, and those who were less than 100% above the ideal had significant weight-influenced diseases such as diabetes or arthritis. Nine patients had reversal of a jejunoileal bypass done at the same time as the gastric procedure.During this time, six patients required reversal of their gastric operations (one had her original surgery elsewhere). Reversal was done for intractable vomiting and was followed by significant weight regain. All patients who had a takedown of the surgery had at least one rehospitalization and numerous office visits.Investigation of these patients during numerous encounters with them led to an awareness that all had a complete upper dental prosthesis with a hard plastic portion


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