This collaborative project is an extension of the 2016 End of Term project, intended to document the federal government's web presence by archiving government websites and data. As part of this preservation effort, URLs supplied from partner institutions, as well as nominated by the public, will be crawled regularly to provide an on-going view of federal agencies' web and social media presence. Key partners on this effort are the Environmental Data & Governance Initiative and the Data Refuge project. This collection is a continuation of the 2016 End of Term web archiving and, as such, is deduplicated against that collection. It allows for the ongoing archiving of publicly nominated websites beyond the "official" end of the End of Term project. 
 
 Interested members of the public, particularly government information specialists, are invited to submit selected web sites to be included in the collection using the public nomination tool. 
 
 For more information on partner institutions, web crawling and past End of Term projects, please visit the End of Term Archive. 

 2011 2012 2013 2014 2015 2016 2017 Total 158,000 173,000 179,000 193,000 196,000 216,000 228,000 Sleeve 17.80% 33.00% 42.10% 51.70% 53.61% 58.11% 59.39% RYGB 36.70% 37.50% 34.20% 26.80% 23.02% 18.69% 17.80% Band 35.40% 20.20% 14.00% 9.50% 5.68% 3.39% 2.77% BPD-DS 0.90% 1.00% 1.00% 0.40% 0.60% 0.57% 0.70% Revision 6.00% 6.00% 6.00% 11.50% 13.55% 13.95% 14.14% Other 3.20% 2.30% 2.70% 0.10% 3.19% 2.63% 2.46% Balloons — — — — 0.36% 2.66% 2.75% 
 
 The ASMBS total bariatric procedure numbers are based on the best estimation from available data (BOLD,ACS/MBSAQIP, National Inpatient Sample Data and outpatient estimations). 

 One Year Later 
 
 This fall, Michigan surgeons gathered about 100 bariatric surgery patients into small focus groups roughly a year after their operations and asked about their new lives, expecting mostly enthusiastic reports. Yet responses were muted. 
 
 “From an outsider’s perspective — as someone who hasn’t had the operation — it is confusing,” Dr. Ghaferi said. “Why on earth wouldn’t you be ecstatic?” 
 
 There was a lot of talk about changed relationships. Some patients had divorced or separated from a spouse. Some said that a partner did not like the way they looked, or that their partner was still obese and jealous, or that the partner complained, “You’re not the person I married.” 
 
 Some believed that people would judge them for having had the surgery, so they kept the operation a secret. 
 
 Some did not like the way they looked. It was not enough weight loss, or they were not aware — although it had been part of their presurgery education sessions — that they would end up with big flaps of loose skin that could be gotten rid of only with extensive and expensive plastic surgery. 
 
 On the other side of the equation, patients raved about newfound energy and stamina, and the way joint and back pain disappeared. They loved tossing away medications for diabetes or high blood pressure. 
 
 Jessica and Keith, too, had mixed reactions. 
 
 A year after his surgery, Keith weighed 284 pounds, down from his starting weight of 377, but not at his projected weight of 230. It is increasingly unlikely that he will get there.
– Gastric-bypass surgery sounds like a sure path to a new life. But for the obese who undergo such radical weight-loss surgery, the ups and downs post-operation can take a precious toll, the New York Times finds after a year of tracking two of the 200,000 Americans who undergo bariatric surgery annually. The low-risk surgery not only prevents patients from overeating, but it rewires their physiology so that food no longer tastes the same. Of three techniques used, the Times followed two who underwent the most common, a gastric bypass, which removed most of their stomachs and rerouted their small intestines. Both saw their health improve and their weight initially plummet. For Keith Oleszkowicz, 40, joint pain disappeared along with his sleep apnea as pounds melted off of his 377-pound frame. Jessica Shapiro, at 22, had never had a date and told the Times that "every day of my life, I’m just aware of how overweight I am." She was thrilled when she lost 65 of her 295 pounds in three months. "I have a waist!" she crowed. Her acid reflux vanished. But both were disappointed when their weight loss slowed. Doctors say bariatric patients rarely attain their desired weight. (Dieting after surgery is actually harder than it was before.) One year later, Shapiro was down 112 pounds and Oleszkowicz down to 284, but their enthusiasm had cooled. Both still saw themselves as fat. "I have a fat brain," says Oleszkowicz. Their experiences mirror those reported by 100 patients. Many were unhappy with excess flaps of skin. There were lots of ruptured relationships. Oleszkowicz even missed his old appetite. "I just liked eating before," he says. Shapiro tried college classes but dropped out. She still has anxiety issues but says, "I don't have an excuse anymore." (Read the full story here.)