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Research Article

Maintenance of weight loss in obese patients after jaw wiring.

Br Med J (Clin Res Ed) 1981; 282 doi: (Published 14 March 1981) Cite this as: Br Med J (Clin Res Ed) 1981;282:858
  1. J S Garrow,
  2. G T Gardiner


    In treatment of obesity restriction of food intake is necessary to achieve good results. Various operations have been devised to prevent patients overeating, but in this study jaw wiring was used to limit food intake. This procedure produces weight loss in obese patients but when the wires are removed the weight is usually regained. This report studied a group of patients whose weight loss was maintained after the wires were removed. A nylon cord fastened round the waist of the patient after weight reduction was found to act as a psychological barrier to weight gain. Seven patients were followed for 4-14 months after removal of jaw wires and regained a mean of only 5.6 kg of the 31.8 kg lost while their jaws were wired. This procedure compares favourably with other treatments for severe obesity.