Figures from the UK indicate that around 1 in 4 adults are obese (body mass index [BMI] above 30kg/m2) and 2% are morbidly obese (BMI above 40kg/m2).1 Being obese is associated with morbidity (e.g. type 2 diabetes mellitus, certain cancers, cardiovascular and musculoskeletal diseases) and premature death.2–6 Weight loss can reduce such problems and improve quality of life, but options such as dietary, lifestyle and drug interventions are often ineffective.7–17 Here we consider the place of surgery in the management of adults with obesity.
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