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In the 1960s and 1970s, a hundred thousand Americans had intestinal bypasses, which meant that food simply slipped through them. Many suffered side effects, including infections and liver failure. Some died.The current surgical fashion plumpers 4 is gastric bypass surgery, a drastic operation in which a surgeon removes a patient's stomach, uses a powerful stapler plumpers 4 to close plumpers 4 up most of it, leaving only a two-tablespoon pouch available for food, and puts it back. In 2000, forty thousand Americans had the operation. Last year, it was more than sixty thousand. Every hundredth patient dies on the operating table, and unpleasant side effects kill and bring much suffering to others. It works - on average, bypassees lose 60 per cent of their weight over 18 months - but then it can stop working. US guidelines say that only those whose weight causes severe health problems should be considered for surgery. In practice, this means anyone with a Body Mass Index of 40 or more. BMI is your weight in kilogrammes divided by the square of your height in metres - a BMI of more than 25 is considered overweight, 35 or more is obese.
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