Stuck in the Middle: The Many Moral Challenges With Bariatric Surgery

REFERENCES

• Album , D. and Westin , S. 2008 . Do diseases have a prestige hierarchy? A survey among physicians and medical students . Social Science & Medicine , 66 ( 1 ) : 182 – 188 .
   PubMed Web of Science ®Google Scholar
• Allison , D. B. , Downey , M. , Atkinson , R. L. , Billington , C. J. , Bray , G. A. , Eckel , R. H. , Finkelstein , E. A. , Jensen , M. D. and Tremblay , A. 2008 . Obesity as a disease: A white paper on evidence and arguments commissioned by the Council of the Obesity Society . Obesity , 16 ( 6 ) : 1161 – 1177 .
   PubMed Web of Science ®Google Scholar
• Alverdy , J. C. , Prachand , V. , Flanagan , B. , Thistlethwaite , W. A. , Siegler , M. , Garfinkel , M. , Angelos , P. , Agarwal , S. and Santry , H. 2009 . Bariatric surgery: A history of empiricism, a future in science . Journal of Gastrointestinal Surgery , 13 ( 3 ) : 465 – 477 .
   PubMed Web of Science ®Google Scholar
• American Society for Metabolic & Bariatric Surgery . 2009 . Website . Available at: http://www.asbs.org (accessed December 5, 2009)
   Google Scholar
• Andreyeva , T. , Puhl , R. M. and Brownell , K. D. 2008 . Changes in perceived weight discrimination among Americans: 1995–1996 through 2004–2006 . Obesity , 16 : 1129 – 1134 .
   PubMed Web of Science ®Google Scholar
• Aphramor , L. 2005 . Is a weight-centred health framework salutogenic? Some thoughts on unhinging certain dietary ideologies . Social Theory and Health , 3 : 315 – 340 .
   Google Scholar
• Arterburn , D. E. , Maciejewski , M. L. and Tsevat , J. 2005 . Impact of morbid obesity on medical expenditures in adults . International Journal of Obesity , 29 : 334 – 339 .
   PubMed Web of Science ®Google Scholar
• Blakemore , A. I. and Froguel , P. 2008 . Is obesity our genetic legacy? . Journal of Clinical Endocrinology and Metabolism , 93 ( 11 suppl. 1 ) : S51 – S56 .
   Web of Science ®Google Scholar
• Bockelbrink , A. , Stoeber , Y. , Roll , S. , Vauth , C. , Willich , S. N. and Greiner , W. 2008 . Evaluation of medical and health economic effectiveness of bariatric surgery (obesity surgery) versus conservative strategies in adult patients with morbid obesity , Cologne : German Agency for Health Technology Assessment at the German Institute for Medical Documentation and Information (DAHTA DIMDI) .
   Google Scholar
• Bockelbrink , A. , Stöber , Y. , Roll , S. , Vauth , C. , Willich , S. N. and Greiner , W. 2008 . Evaluation of medical and health economic effectiveness of bariatric surgery (obesity surgery) versus conservative strategies in adult patients with morbid obesity , Köln German Agency for HTA of German Institute of Medical Documentation and Information . Available at: http://portal.dimdi.de/de/hta/hta_berichte/hta203_summary_en.pdf (accessed January 4, 2010)
   Google Scholar
• Brown , I. 2006 . Nurses’ attitudes towards adult patients who are obese: Literature review . Journal of Advanced Nursing , 53 ( 2 ) : 221 – 232 .
   PubMed Web of Science ®Google Scholar
• Brownell , K. D. , Puhl , R. M. , Schwartz , M. B. and Rudd , L. 2005 . Weight bias: Nature, consequences, and remedies , New York : Guilford Press .
   Google Scholar
• Buchwald , H. , Avidor , Y. and Braunwald , E. 2004 . Bariatric surgery: A systematic review and meta-analysis . Jurnal of the American Medical Association , 292 : 1724 – 1737 .
   PubMed Web of Science ®Google Scholar
• Buchwald , H. and Consensus Conference Panel . 2005 . Bariatric surgery for morbid obesity: Health implications for patients, health professionals, and third-party payers . Journal of the American College of Surgeons , 200 : 593 – 604 .
   PubMed Web of Science ®Google Scholar
• Campos , P. 2004 . The obesity myth: Why America's obsession with weight is hazardous to your health , New York : Gotham Books .
   Google Scholar
• Campos , P. , Saguy , A. , Ernsberger , P. , Oliver , E. and Gaesser , G. 2006 . The epidemiology of overweight and obesity: Public health crisis or moral panic . International Journal of Epidemiology , 35 : 55 – 60 .
   PubMed Web of Science ®Google Scholar
• Caniano , D. A. 2009 . Ethical issues in pediatric bariatric surgery . Seminars in Pediatric Surgery , 18 ( 3 ) : 186 – 192 .
   PubMed Web of Science ®Google Scholar
• Cappelen , A. and Norheim , O. F. 2005 . Responsibility in health care—A liberal egalitarian approach . Journal of Medical Ethics , 31 : 476 – 480 .
   PubMed Web of Science ®Google Scholar
• Colquitt , J. L. , Picot , J. , Loveman , E. and Clegg , A. J. 2009 . Surgery for obesity Cochrane Database of Systematic Reviews, Issue 2, Article CD003641. doi: 10.1002/14651858.CD003641.pub3
   Google Scholar
• Cowan , G. S. Jr. , Hiler , M. L. and Buffington , C. 1999 . Criteria for selection of patients for bariatric surgery . European Journal of Gastroenterology and Hepatology , 11 ( 2 ) : 69 – 75 .
   PubMed Web of Science ®Google Scholar
• Cowan , G. S. Jr . 1998 . What do patients, families and society expect from the bariatric surgeon? . Obesity Surgery , 8 ( 1 ) : 77 – 85 .
   PubMed Web of Science ®Google Scholar
• Day , P. 2005 . What is the evidence for the safety and effectiveness of surgical and non-surgical interventions for patients with morbid obesity? , 40 Christchurch : New Zealand Health Technology Assessment (NZHTA) .
   Google Scholar
• de Vries , J . 2007 . The obesity epidemic: medical and ethical considerations . Science and Engineering Ethics , 13 ( 1 ) : 55 – 67 .
   PubMed Web of Science ®Google Scholar
• Dutta , S. , Morton , J. and Shepard , E. 2006 . Methamphetamine use following bariatric surgery in an adolescent . Obesity Surgery , 16 : 780 – 782 .
   PubMed Web of Science ®Google Scholar
• EUnetHTA Work Package 4 . 2008 . HTA core model for medical and surgical interventions v 1.0r Available at: http://www.eunethta.net/upload/WP4/Final%20Deliverables/HTA%20Core%20Model%20for%20Medical%20and%20Surgical%20Interventions%201%200r.pdf (accessed December 16, 2009)
   Google Scholar
• Fallon , E. M. , Tanofsky-Kraff , M. and Norman , A. C. 2005 . Health-related quality of life in overweight and nonoverweight black and white adolescents . Journal of Pediatrics , 147 : 443 – 450 .
   PubMed Web of Science ®Google Scholar
• Finkelstein , E. , Fiebelkorn , I. C. and Wang , G. 2005b . The costs of obesity among fulltime employees . American Journal of Health Promotion , 20 : 45 – 51 .
   PubMed Web of Science ®Google Scholar
• Finkelstein , E. A. , Ruhm , C. J. and Kosa , K. M. 2005a . Economic causes and consequences of obesity . Annual Review of Public Health , 26 : 239 – 257 .
   PubMed Web of Science ®Google Scholar
• Finkelstein , E. A. , Fiebelkorn , I. C. and Wang , G. 2003 . National medical spending attributable to overweight and obesity: How much, and who's paying? . Health Affairs , : 219 – 226 . suppl. W3
   Web of Science ®Google Scholar
• Flum , D. R. , Khan , T. V. and Dellinger , E. P. 2007 . Toward the rational and equitable use of bariatric surgery . Journal of the American Medical Association , 298 : 1442 – 1444 .
   PubMed Web of Science ®Google Scholar
• Gard , M. and Wright , J. 2005 . The obesity epidemic: Science, morality and ideology , London : Routledge .
   Google Scholar
• Grilo , C. M. , Masheb , R. M. , Brody , M. , Toth , C. , Burke-Martindale , C. H. and Rothschild , B. S. 2005 . Childhood maltreatment in extremely obese male and female bariatric surgery candidates . Obesity Research , 13 : 123 – 130 .
   PubMedGoogle Scholar
• Groven , K. S. , Råheim , M. and Engelsrud , G. 2010 . “My quality of life is worse compared to my earlier life.” Living with chronic problems after weight loss surgery . International Journal of Qualitative Studies on Health and Well-being , 5 : 5553
   Google Scholar
• Hell , E. and Miller , K. 2002 . [Bariatric surgery—Stereotypes and paradigms] . Zentralblatt Chirurgie , 127 ( 12 ) : 1032 – 1034 . in German
   PubMed Web of Science ®Google Scholar
• Hensrud , D. D. and Klein , S. 2006 . Extreme obesity: A new medical crisis in the United States . Mayo Clinic Proceedings , 81 ( suppl. 10 ) : S5 – S10 .
   Web of Science ®Google Scholar
• Herndon , A. M. 2005 . Collateral damage from friendly fire? Race, nation, class and the “war against obesity.” . Social Semiotics , 15 ( 2 ) : 127 – 141 .
   Google Scholar
• Hofmann , B. 2001 . The technological invention of disease . Journal of Medcial Ethics: Medical Humanities , 27 : 10 – 19 .
   Google Scholar
• Hofmann , B. 2005a . Toward a procedure for integrating moral issues in health technology assessment . International Journal of Health Technology Assessment , 21 ( 3 ) : 312 – 318 .
   PubMed Web of Science ®Google Scholar
• Hofmann , B. 2005b . On value-judgements and ethics in health technology assessment . Poiesis & Praxis: International Journal of Technology Assessment and Ethics of Science , 3 ( 4 ) : 277 – 295 .
   Google Scholar
• Ikonen , T. S. , Anttila , H. and Gylling , H. 2009 . Sairaalloisen lihavuuden leikkaushoito Helsinki
   Google Scholar
• Inge , T. H , Krebs , N. F. , Garcia , V. F. , Skelton , J. A. , Guice , K. S. , Strauss , R. S. , Albanese , C. T. , Brandt , M. L. , Hammer , L. D. , Harmon , C. M. , Kane , T. D. , Klish , W. J. , Oldham , K. T. , Rudolph , C. D. , Helmrath , M. A. , Donovan , E. and Daniels , S. R. 2004 . Bariatric surgery for severely overweight adolescents: concerns and recommendations . Pediatrics , 114 ( 1 ) : 217 – 223 .
   PubMed Web of Science ®Google Scholar
• Inge , T. H. 2006 . Bariatric surgery for morbidly obese adolescents: is there a rationale for early intervention? . Growth Hormone & IGF Research , 16 ( suppl. A ) : S15 – S19 .
   Google Scholar
• Inge , T. H. , Xanthakos , S. A. and Zeller , M. H. 2007 . Bariatric surgery for pediatric extreme obesity: Now or later? . International Journal of Obesity , 31 ( 1 ) : 1 – 14 .
   Web of Science ®Google Scholar
• Jacobs , P. , Ohinmaa , A. and Klarenbach , S. 2006 . Costing of alternative interventions for the treatment of morbid obesity , Edmonton, AB : Institute of Health Economics . Available at: www.ihe.ca/documents/WP%2006-01.pdf (accessed December 16, 2009)
   Google Scholar
• Jamal , M. K. , DeMaria , E. J. , Johnson , J. M. , Carmody , B. J. , Wolfe , L. G. , Kellum , J. M. and Meador , J. G. 2006 . Insurance-mandated preoperative dietary counseling does not improve outcome and increases dropout rates in patients considering gastric bypass surgery for morbid obesity . Surgery for Obesity and Related Diseases , 2 ( 2 ) : 122 – 127 .
   PubMedGoogle Scholar
• Kaminsky , J. and Gadaleta , D. 2002 . A study of discrimination within the medical community as viewed by obese patients . Obesity Surgery , 12 ( 1 ) : 14 – 18 .
   PubMed Web of Science ®Google Scholar
• Lau , D. C. W. , Douketis , J. D. and Morrison , K. M. 2006 . Canadian clinical practice guidelines on the management and prevention of obesity in adults and children . Canadian Medical Association Journal , 176 ( suppl. 8 ) : 1 – 117 .
   Google Scholar
• Levine , M. D. , Ringham , R. M. , Kalarchian , M. A. , Wisniewski , L. and Marcus , M. D. 2001 . Is family-based behavioral weight control appropriate for severe pediatric obesity? . International Journal of Eating Disorders , 30 : 318 – 328 .
   PubMed Web of Science ®Google Scholar
• Livingston , E. H. 2005 . Hospital costs associated with bariatric procedures in the United States . American Journal of Surgery , 190 : 816 – 820 .
   PubMed Web of Science ®Google Scholar
• Livingston , E. H. and Fink , A. S. 2003 . Quality of life: cost and future of bariatric surgery . Archives of Surgery , 138 : 383 – 388 .
   PubMed Web of Science ®Google Scholar
• Longitudinal Assessment of Bariatric Surgery (LABS) Consortium . 2009 . Perioperative safety in the longitudinal assessment of bariatric surgery . New England Journal of Medicine , 361 : 445 – 454 .
   PubMed Web of Science ®Google Scholar
• Madan , A. K. , Tichansky , D. S. and Taddeucci , R. J. 2007 . Postoperative laparoscopic bariatric surgery patients do not remember potential complications . Obesity Surgery , 17 ( 7 ) : 885 – 888 .
   PubMed Web of Science ®Google Scholar
• Maggard , M. A. , Shugarman , L. R. and Suttorp , M. 2005 . Meta-analysis: Surgical treatment of obesity . Annals of Internal Medicine , 142 : 547 – 559 .
   PubMed Web of Science ®Google Scholar
• Martin , M. , Beekley , A. , Kjorstad , R. and Sebesta , J. 2009 . Socioeconomic disparities in eligibility and access to bariatric surgery: A national population-based analysis . Surgery for Obesity and Related Diseases. , Available at: http://www.sciencedirect.com/science?_ob=ArticleURL&_udi=B7MD3-4WSRF94-3&_user=10&_rdoc=1&_fmt=&_orig=search&_sort=d&_docanchor=&view=c&_searchStrId=1153929632&_rerunOrigin=google&_acct=C000050221&_version=1&_urlVersion=0&_userid=10&md5=cba42cad02f92bbfd545623a6d845f39 (accessed January 4, 2010)
   Web of Science ®Google Scholar
• Medical Advisory Secretariat . 2005 . Bariatric surgery , Toronto : Medical Advisory Secretariat, Ontario Ministry of Health and Long-Term Care . Available at: http://www.health.gov.on.ca/english/provid-ers/program/mas/tech/reviews/sum_baria_010105.html (accessed January 4, 2010)
   Google Scholar
• Medical Advisory Secretariat . 2005 . Bariatric surgery: An evidence-based analysis . Ontario Health Technology Assessment Series 5 , Available at: www.health.gov.on.ca/english/providers/program/mas/tech/reviews/pdf/rev_baria_010105.pdf (accessed December 8, 2009)
   Google Scholar
• Monaghan , L. F. 2005a . Big handsome men, bears and others: Virtual constructions of “fat male embodiment.” . Body and Society , 11 ( 2 ) : 81 – 111 .
   Google Scholar
• Monaghan , L. F. 2005b . Discussion piece: A critical take on the obesity debate . Social Theory and Health , 3 : 302 – 314 .
   Google Scholar
• Munoz , D. J. , Lal , M. and Chen , E. Y. 2007 . Why patients seek bariatric surgery: A qualitative and quantitative analysis of patient motivation . Obesity Surgery , 17 ( 11 ) : 1487 – 1491 .
   PubMed Web of Science ®Google Scholar
• National Health Service . 2007 . Surgery for obesity . Evidence Note , : 19 Available at: www.nhshealthquality.org
   Google Scholar
• Nichols , C. and Oermann , M. H. 2005 . An evaluation of bariatric Web sites for patient education and guidance . Gastroenterological Nursing , 28 ( 2 ) : 112 – 117 .
   PubMedGoogle Scholar
• Oakley , J. 2007 . “ Patients and disclosure of surgical risk ” . In Principles of health care ethics , Edited by: Ashcroft , R. E. , Dawson , A. , Draper , H. and McMillan , J. R. 319 – 324 . Chichester : John Wiley & Sons .
   Google Scholar
• Ogden , J. and Flanagan , Z. 2008 . Beliefs about the causes and solutions to obesity: A comparison of GPs and lay people . Patient Education and Counseling , 71 ( 1 ) : 72 – 78 .
   PubMed Web of Science ®Google Scholar
• Ogden , J. , Clementi , C. and Aylwin , S. 2006 . The impact of obesity surgery and the paradox of control: a qualitative study . Psychology & Health , 21 ( 2 ) : 273 – 293 .
   PubMed Web of Science ®Google Scholar
• Oliver , J. E. 2006 . The politics of pathology: How obesity became an epidemic disease . Perspectives in Biology and Medicine , 49 ( 4 ) : 611 – 627 .
   PubMed Web of Science ®Google Scholar
• Padwal , R. , Kezouh , A. and Levine , M. 2007 . Long-term persistence with orlistat and sibutramine in a population-based cohort . International Journal of Obesity , 31 : 1567 – 1570 .
   PubMed Web of Science ®Google Scholar
• Padwal , R. S. and Sharma , A. M. 2009 . Treating severe obesity: Morbid weights and morbid waits . Canadian Medical Association Journal , 181 ( 11 ) : 777 – 778 .
   Web of Science ®Google Scholar
• Picot , J. , Jones , J. and Colquitt , J. L. 2009 . The clinical effectiveness and cost-effectiveness of bariatric (weight loss) surgery for obesity: A systematic review and economic evaluation . Health Technology Assessment , 13 ( 41 )
   Web of Science ®Google Scholar
• Pomeranz , J. L. 2008 . A historical analysis of public health, the law, and stigmatized social groups: The need for both obesity and weight bias legislation . Obesity , 16 ( suppl. 2 ) : S93 – S103 .
   Google Scholar
• Pratt , J. S. , Lenders , C. M. , Dionne , E. A. , Hoppin , A. G. , Hsu , G. L. , Inge , T. H. , Lawlor , D. F. , Marino , M. F. , Meyers , A. F. , Rosenblum , J. L. and Sanchez , V. M. 2009 . Best practice updates for pediatric/adolescent weight loss surgery . Obesity , 17 ( 5 ) : 901 – 910 .
   PubMed Web of Science ®Google Scholar
• Puhl , R. and Brownell , K. D. 2001 . Bias, discrimination, and obesity . Obesity Research , 9 ( 12 ) : 788 – 805 .
   PubMedGoogle Scholar
• Puhl , R. M. and Heuer , C. A. 2009 . The stigma of obesity: A review and update . Obesity , 17 ( 5 ) : 941 – 964. .
   PubMed Web of Science ®Google Scholar
• Purnell , J. Q. and Flum , D. R. 2009 . Bariatric surgery and diabetes: Who should be offered the option of remission? . Journal of the American Medical Association , 301 ( 15 ) : 1593 – 1595 .
   Web of Science ®Google Scholar
• Raper , S. E. and Sarwer , D. B. 2008 . Informed consent issues in the conduct of bariatric surgery . Surgery for Obesity and Related Diseases , 4 ( 1 ) : 60 – 68 .
   PubMed Web of Science ®Google Scholar
• Revill , J. 2006 . NHS rations anti-obesity surgery . The Observer , September 10. Available at: www.guardian.co.uk/society/2006/sep/10/health.medicineandhealth (accessed July 9, 2009)
   Google Scholar
• Roberts , L. W. , Balon , R. and Coverdale , J. 2009 . Ethics commentary: Fundamentals of life . Focus , 7 : 469 – 471 .
   Google Scholar
• Rosik , C. H. 2005 . Psychiatric symptoms among prospective bariatric surgery patients: Rates of prevalence and their relation to social desirability, pursuit of surgery, and follow-up attendance . Obesity Surgery , 15 : 677 – 683 .
   PubMed Web of Science ®Google Scholar
• Rothman , K. J. 2008 . BMI-related errors in the measurement of obesity . International Journal of Obesity , 32 : S56 – S59 .
   PubMed Web of Science ®Google Scholar
• Salant , T. and Santry , H. P. 2006 . Internet marketing of bariatric surgery: contemporary trends in themedicalization of obesity . Social Science & Medicine , 62 ( 10 ) : 2445 – 2257 .
   PubMed Web of Science ®Google Scholar
• Sarwer , D. B. , Cohn , N. I. and Gibbons , L. M. 2004 . Psychiatric diagnoses and psychiatric treatment among bariatric surgery candidates . Obes Surg , 14 : 1148 – 1156 .
   PubMed Web of Science ®Google Scholar
• Saxena , S. , Ambler , G. , Cole , T. J. and Majeed , A. 2004 . Ethnic group differences in overweight and obese children and young people in England: Cross sectional survey . Archives of Disease in Childhood , 89 : 30 – 36 .
   PubMed Web of Science ®Google Scholar
• Shekelle , P. G. , Morton , S. C. and Maglione , M. A. 2004 . Pharmacological and surgical treatment of obesity , Rockville, MD : Agency for Healthcare Research and Quality (AHRQ) .
   Google Scholar
• Shell , R. E. 2002 . The hungry gene. The inside story of the obesity industry. , New York : Grove Press .
   Google Scholar
• Sjostrom , L. , Narbro , K. and Sjostrom , C. D. 2007 . Effects of bariatric surgery on mortality in Swedish obese subjects . New England Journal of Medicine , 357 : 741 – 752 .
   PubMed Web of Science ®Google Scholar
• Stearns , P. N. 1997 . Fat history. Bodies and beauty in the modern West , New York : New York University Press .
   Google Scholar
• Sturm , R. 2002 . The effects of obesity, smoking, and drinking on medical problems and costs . Health Affairs , 21 : 245 – 253 .
   PubMed Web of Science ®Google Scholar
• Sundbom , M. and Karlson , B. M. 2008 . Low mortality in bariatric surgery 1995 through 2005 in Sweden, in spite of a shift to more complex procedures . Obesity Surgery , 19 : 1697 – 1701 .
   Google Scholar
• Svetkey , L. P. , Stevens , V. J. and Brantley , P. J. 2008 . Comparison of strategies for sustaining weight loss: the weight loss maintenance randomized controlled trial . Journal of the American Medical Association , 299 : 1139 – 1148 .
   PubMed Web of Science ®Google Scholar
• Saarni , S. , Hofmann , B. and Lampe , K. 2008 . Ethical analysis to improve decision-making on health technologies . Bulletin of the World Health Organization , 86 ( 8 ) : 617 – 623 .
   PubMed Web of Science ®Google Scholar
• Throsby , K. 2007 . “How could you let yourself get like that?” Stories of the origins of obesity in accounts of weight loss surgery . Social Science & Medicine , 65 ( 8 ) : 1561 – 1571 .
   PubMed Web of Science ®Google Scholar
• Tjepkema , M. 2008 . “ Adult obesity in Canada: Measured height and weight ” . In Nutrition: Findings from the Canadian Community Health Survey 2004 , Ottawa, ON : Statistics Canada . Issue 1. Catalog number 82–620-MWE2005001. Available at: www.statcan.ca/english/research/82–620-MIE/2005001/articles/adults/aobesity.htm (accessed December 7, 2009)
   Google Scholar
• Uli , N. , Sundararajan , S. and Cuttler , L. 2008 . Treatment of childhood obesity . Current Opinion in Endocrinology, Diabetes and Obesity , 15 ( 1 ) : 37 – 47 .
   PubMedGoogle Scholar
• U.S. Department of Veterans Affairs (VATAP) . 2003 . Technology Assessment Unit, Office of Patient Care Services, Bariatric surgery: Summary of INAHTA reviews , Department of Veterans Affairs (VATAP) . Technology Assessment Unit, Office of Patient Care Services, U.S
   Google Scholar
• van Hout , G. C. , van Oudheusden , I. and van Heck , G. L. 2004 . Psychological profile of the morbidly obese . Obesity Surgery , 14 : 579 – 588 .
   PubMed Web of Science ®Google Scholar
• Wilde , M. L. 2004 . Bioethical and legal implications of pediatric gastric bypass . Willamette Law Review , 40 ( 3 ) : 575 – 625 .
   PubMedGoogle Scholar
• Wilding , J. P. H. 2006 . Pathophysiology and aetiology of obesity . Medicine , 34 : 501 – 505 .
   Google Scholar
• Zeller , M. H. and Modi , A. C. 2006 . Predictors of health-related quality of life in obese youth . Obesity , 14 : 122 – 130 .
   PubMed Web of Science ®Google Scholar