Document Detail

Treatment of morbid obesity by nonsurgical means: diet, drugs, behavior modification, exercise.
MedLine Citation:
PMID:  3325425     Owner:  NLM     Status:  MEDLINE    
Treatment of morbid obesity requires that the patient should achieve a negative energy balance of at least 350,000 kcal. Dietary treatment under metabolic ward control in time achieves any desired weight loss, but few morbidly obese patients can maintain dietary restriction for long enough as outpatients. The objective of both surgical and nonsurgical treatments is, in effect, to encourage (or force) the patient to diet. Drug treatment and exercise are ineffective in long-term massive obesity, but behavior therapy or jaw-wiring followed by the fitting of a waist cord can achieve worthwhile weight loss maintained for 3 years of follow-up.
J S Garrow
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Publication Detail:
Type:  Comparative Study; Journal Article; Review    
Journal Detail:
Title:  Gastroenterology clinics of North America     Volume:  16     ISSN:  0889-8553     ISO Abbreviation:  Gastroenterol. Clin. North Am.     Publication Date:  1987 Sep 
Date Detail:
Created Date:  1988-03-25     Completed Date:  1988-03-25     Revised Date:  2006-11-15    
Medline Journal Info:
Nlm Unique ID:  8706257     Medline TA:  Gastroenterol Clin North Am     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  443-9     Citation Subset:  IM    
Department of Human Nutrition, St. Bartholomew's Hospital Medical College, London, United Kingdom.
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MeSH Terms
Behavior Therapy
Body Weight
Exercise Therapy
Follow-Up Studies
Obesity, Morbid / diet therapy,  drug therapy,  therapy*
Stomach / surgery

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