Abstract
Morbid obesity is growing in prevalence in the UK. In 1999, 0.8% of men and 1.8% of women, approximately 650000 people in total, were morbidly obese (body mass index (BMI) >40kg/m2). The associated increase in morbidity and mortality has led the UK government to sponsor several organizations to tackle obesity, including the National Audit Office (2001). In keeping with the Department of Health advocating specialist centres to manage morbidly obese patients, the authors believe these or similar centres should manage the even more challenging super-morbidly obese (SMO) patients (BMI >50kg/m2) during surgical episodes.
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