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Surgery for Morbid Obesity (Paperback, Softcover reprint of the original 1st ed. 1984)
Loot Price: R2,811
Discovery Miles 28 110
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Surgery for Morbid Obesity (Paperback, Softcover reprint of the original 1st ed. 1984)
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The surgical treatment of morbid obesity has undergone astonishing
growth since its inception thirty years ago. The medical profession
has long been aware of the discouraging intractability of morbid
obesity to all forms of conservative management, and it is only
recently that physicians have come to realize that surgery can
provide very real palliation for the morbidly obese patient.
Surgery does not attack the underlying etiology of morbid obesity,
whatever it may be, but exerts its effect indirectly either by
effecting a calorie loss through intestinal shunting, or by calorie
deprivation through a radical reduction of gastric capacity.
Acceptance of bariatric surgery as a legitimate therapeutic
modality has met with considerable resistance by many physicians
for two principal reasons. The first relates to the rather
prevalent but unjustifiable attitude both within and without the
medical profession that morbid obesity is an expression of
slovenliness, the result of a character defect, or a defect of the
will, and of an "easy way that those so atHicted should not be
extended the benefit out," but should "shape up" by rigorous diet
and exercise. The second more serious concern that has blunted
enthusiasm for bariatric surgery has been the large number of late
complications following jejunoileal bypass, and the high incidence
of perioperative complications and revisional operations in some
quarters following gastric reduction procedures. It is to these
concerns that this book is addressed.
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