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Robert E. Brolin, MD
New Brunswick, NJ

Arch Surg. 2003;138:710.

	Since this article does not have an abstract, we have provided the first 150 words of the full text and any section headings.

This article represents the first series of bariatric surgical patients restricted to a BMI of 70 or greater. At first glance, one might wish to place this article among those that describe procedures that fall into the category "just because it can be done, should it?" This category of operations might include laparoscopic pancreaticoduodenectomy, laparoscopic hepatic resection, etc. The authors have also taken it upon themselves to coin a new term, "megaobese." At least they did not attempt to attach an eponym! In considering terms for definition of massive overweight, such as suprasuperobese or megaobese, one should understand the rationale for introduction of the well-known term superobese by Ed Mason and colleagues in 1987.¹ Mason et al desired to separate superobesity from morbid obesity on the basis that the superobese usually did not achieve satisfactory weight loss following vertical banded gastroplasty. The concept of distinguishing superobesity . . . [Full Text of this Article]

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