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Edward H. Livingston, MD

Arch Surg. 2007;142(10):919-922.

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

This issue of the Archives includes a constellation of articles describing various aspects of bariatric surgery. Just several years ago, very few manuscripts of this type were accepted by conventional surgical journals, a testament to how rapidly surgical practices have changed. Bariatric surgery was not considered acceptable by most until 1991 when the National Institutes of Health convened a consensus panel charged with reviewing the available data and determining what operations may be performed and on what types of patients. The panel's recommendations had substantial impact.¹ Their recommendations for bariatric surgery criteria have remained virtually unaltered for the past 16 years.

Even though the field was opened up in 1991, another decade passed before the operations were performed in significant numbers. Obesity, like smoking, is widely perceived to result from a patient's habits and not from some organic disorder. Consequently, insurance companies had been successful in . . . [Full Text of this Article]

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