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April 21, 1989

The Treatment of Obesity in Adults

Author Affiliations

Shreveport, La

Shreveport, La

JAMA. 1989;261(15):2199-2200. doi:10.1001/jama.1989.03420150049022

To the Editor.—  I read with interest the article entitled "Treatment of Obesity in Adults,"1 which was a report from the Council on Scientific Affairs in the November 4 issue of JAMA. The title would indicate that this is the state of the art in 1988 according to the American Medical Association.I realize that the report was concerned with the obese patient in general, who by definition is at least 20% overweight according to the Metropolitan Life Insurance medium-frame scale, as was mentioned in the article. The report goes on to talk about various dietary therapies, which is all well and good. However, I think that it is remiss not even to mention the severe problem of morbid obesity.As a charter member of the American Society for Bariatric (Obesity) Surgery, and as a surgeon who has been involved in this field for a number of years, I