"Bariatric Surgery: Weighing the Options" has been divided into six parts. If you have a broadband (high-speed) internet connection you can watch the program online. Please begin by clicking on Part One.

Video clips may appear jagged for the first few minutes until the entire segment has loaded.

Faculty Disclosure Information
Caroline M. Apovian, M.D.
Consultant for: Bristol-Myers Squibb, Eli Lilly, GlaxoSmithKline, LifeScan, MannKind Corporation, Novartis, Pfizer, sanofi-aventis

James C. "Butch" Rosser, Jr., M.D.
Grants/Research Support: Berchtold Corporation, City of New York, Ethicon Endo-Surgery, Inc., Stryker, Telemedicine and Advanced Technology Research Center (TATRC). Consultant for: Big Red Frog, LLC, Menache, LLC, Telemedicine and Advanced Technology Research Center (TATRC).

Philip R. Schauer, M.D.
Grants/Research Support: Ethicon Endo-Surgery, U.S. Surgical, Stryker, Inamed, Gore Medical, Baxter.

Acknowledgement of Commercial Support
This program is funded through an educational grant from Ethicon Endo-Surgery, Inc.

Part One (10 min.) Includes: CME information, faculty introductions, scope of the problem, Comments by Dr. Richard Carmona, BMI categories, comorbidities associated with morbid obesity, impact of BMI on longevity, increased healthcare costs for obesity. play clip

Part Two (10 min.) Includes: Concept of obesity as a disease, 'thrifty' gene, primary care physician discussion of obesity surgery, impressions based on earlier procedures, NIH recommendations, new reports supporting efficacy of surgery, NIH/NHLBI criteria, other factors in surgical assessment besides guidelines, exclusion criteria, patient question: gaining weight to quality. play clip

Part Three (10 min.) Includes: Different types of procedures, restrictive vs. malabsorptive, Vertical Banded Gastroplasty, Laparoscopic Adjustable Gastric Banding, Biliopancreatic Diversion, Gastric Bypass Roux-En-Y, Patient profile: Raymond Gonzalez. play clip

Part Four (8 min.) Includes: Panel comments on Raymond Gonzalez profile, keys to success, Dr. Rosser's personal perspective, post-op patient adjustments and difficulties, Swedish Obesity Study, Buchwald JAMA meta-analysis, other studies, risk of obesity vs. risks of surgery. play clip

Part Five (7 min.) Includes: Complications: medical and surgical, related to specific procedures, nutritional complications, vitamin absorption, protein deficiency, internal hernias, changes in eating patterns and foods, importance of lifestyle change and exercise in post-op success. play clip

Part Six (10 min.) Includes: Patient profile: Patsy Albert and Kristine Cruze, surgery as a tool and only one part of a comprehensive treatment program, dumping syndrome WEPNS (Water, Exercise, Protein, No snacking, Supplements), panel comments and lessons from profiles, review of key points and take-away messages, conclusion. play clip