Q:

The most effective therapy for morbid obesity, in terms of weight control, is:

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The most effective therapy for morbid obesity, in terms of weight control, is:


  1. Intensive dieting with behavior modification.
  2. A multidrug protocol with fenfluramine, phenylpropanolamine, and mazindol.
  3. A gastric bypass with a 40-ml. pouch, a 10- to 20-cm. Roux-en-Y gastroenterostomy.
  4. A gastric bypass with a 15-ml. pouch, a 40- to 60-cm. Roux-en-Y gastroenterostomy.
  5. Daily exercise with strong emphasis on utilizing all four limbs.

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D. A gastric bypass with a 15-ml. pouch, a 40- to 60-cm. Roux-en-Y gastroenterostomy.

 DISCUSSION: Although the various nonsurgical measures listed in the question have proved effective for obese persons, they work only rarely for those who are morbidly obese. None have proved as effective as gastric bypass with a 15-ml. pouch and a 40- to 60-cm. Roux-en-Y gastroenterostomy.

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