NIH Conference
15 December 1991

Gastrointestinal Surgery for Severe Obesity

Publication: Annals of Internal Medicine
Volume 115, Number 12


▪ Surgeons, gastroenterologists, endocrinologists, psychiatrists, nutritionists, and other health care professionals, as well as members of the public convened to address nonsurgical treatments for severe obesity, surgical treatments for severe obesity, and criteria for selection, the efficacy, and risks of surgical treatments for severe obesity, and the need for future research on and epidemiologic evaluation of these therapies.
The National Institutes of Health Consensus Development Panel recommended that patients seeking therapy for severe obesity for the first time should be considered for treatment in a nonsurgical program that integrates a dietary regimen, appropriate exercise, behavior modification, and psychological support; that gastric restrictive or bypass procedures could be considered for well-informed and motivated patients in whom the operative risks were acceptable; that patients who are candidates for surgical procedures should be selected carefully after evaluation by a multidisciplinary team with medical, surgical, psychiatric, and nutritional expertise; that surgery be done by a surgeon who has substantial experience in the particular procedure and who works in a clinical setting with adequate support for all aspects of management and assessment; and that patients undergo lifelong medical surveillance after surgery.

Get full access to this article

View all available purchase options and get full access to this article.

Information & Authors


Published In

cover image Annals of Internal Medicine
Annals of Internal Medicine
Volume 115Number 1215 December 1991
Pages: 956 - 961


Published in issue: 15 December 1991
Published online: 1 December 2008




Consensus Development Conference Panel
An edited summary of a Consensus Development Conference held from 25 to 27 March 1991 at Masur Auditorium, Building 10, National Institutes of Health, Bethesda, Maryland. The Conference was sponsored by the National Institute of Diabetes and Digestive and Kidney Diseases (Phillip Gorden, MD, Director) and the Office of Medical Applications of Research, National Institutes of Health.
Authors who wish to cite the conference may use this example for the form of reference:
Consensus Development Conference Panel. Gastrointestinal surgery for severe obesity: Consensus Development Conference statement. Ann Intern Med. 1991:115:956-961.
For participating organizations and investigators, see end of text.

Metrics & Citations



If you have the appropriate software installed, you can download article citation data to the citation manager of your choice. For an editable text file, please select Medlars format which will download as a .txt file. Simply select your manager software from the list below and click Download.

For more information or tips please see 'Downloading to a citation manager' in the Help menu.


Download article citation data for:
Consensus Development Conference Panel. Gastrointestinal Surgery for Severe Obesity. Ann Intern Med.1991;115:956-961. doi:10.7326/0003-4819-115-12-956

View More

Get Access

Login Options:

You will be redirected to to sign-in to Annals to complete your purchase.

Access to EPUBs and PDFs for FREE Annals content requires users to be registered and logged in. A subscription is not required. You can create a free account below or from the following link. You will be redirected to to create an account that will provide access to Annals. If you are accessing the Free Annals content via your institution's access, registration is not required.

Create your Free Account

You will be redirected to to create an account that will provide access to Annals.

View options


View PDF/ePub

Related in ACP Journals







Copy the content Link

Share on social media