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Previous Volume 356:2176-2183 May 24, 2007 Number 21 Next

	Since this article has no abstract, we have provided an extract of the first 100 words of the full text and any section headings.

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This Journal feature begins with a case vignette that includes a therapeutic recommendation. A discussion of the clinical problem and the mechanism of benefit of this form of therapy follows. Major clinical studies, the clinical use of this therapy, and potential adverse effects are reviewed. Relevant formal guidelines, if they exist, are presented. The article ends with the author's clinical recommendations.

A 44-year-old obese woman (height, 1.7 m [65 in.]) has seen her primary care physician for the past 10 years for management of conditions related to her obesity, including diabetes, hypertension, and gastroesophageal reflux disease. Despite efforts to lose . . . [Full Text of this Article]

The Clinical Problem

Pathophysiology and Effect of Therapy

Clinical Evidence

Clinical Use

Adverse Effects

Areas of Uncertainty

Guidelines

Recommendations

Source Information

From the Duke Weight Loss Surgery Center and the Duke Endosurgery Center, Duke University Medical Center, Durham, NC.

Address reprint requests to Dr. DeMaria at the Duke Endosurgery Center, DUMC-3288, Duke University Medical Center, Durham, NC 27710, or at eric.demaria@duke.edu.

Related Letters:

Bariatric Surgery for Morbid Obesity
Gasteyger C., Chen R., Takahashi T., Kanda T., Kapoor S., DeMaria E. J.
Extract | Full Text | PDF  
N Engl J Med 2007; 357:1158-1160, Sep 13, 2007. Correspondence

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• Goldfine, A. B., Mun, E. C., Devine, E., Bernier, R., Baz-Hecht, M., Jones, D. B., Schneider, B. E., Holst, J. J., Patti, M. E. (2007). Patients with Neuroglycopenia after Gastric Bypass Surgery Have Exaggerated Incretin and Insulin Secretory Responses to a Mixed Meal. J. Clin. Endocrinol. Metab. 92: 4678-4685 [Abstract] [Full Text]  
• Gasteyger, C., Chen, R., Takahashi, T., Kanda, T., Kapoor, S., DeMaria, E. J. (2007). Bariatric Surgery for Morbid Obesity. NEJM 357: 1158-1160 [Full Text]