Abstract
With the operative modifications and dietary guidelines described in this report, death and complications from gastric bypass were minimal, and weight loss was marked. Ninety per cent of a group of 69 patients lost more than half of their excess weight within the first two years after operation. Stringent preselection of patients for operation was crucial to the success of the operation, and marked alterations of eating behavior was necessary to achieve the weight loss. Mild electrolyte deficiencies and hypovitaminosis occurred in up to one-fourth of the patients. While none of these abnormalities was harmful to the patients, and all were easily corrected, their occurrence demonstrates the importance of long-term follow-up after the operation. We conclude that gastric bypass, with a 50-60 cc pouch and a small (1-1.2 cm) gastrojejunostomy, remains the operation of choice for morbid obesity.
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- Alden J. F. Gastric and jejunoileal bypass. A comparison in the treatment of morbid obesity. Arch Surg. 1977 Jul;112(7):799–806. doi: 10.1001/archsurg.1977.01370070011001. [DOI] [PubMed] [Google Scholar]
- Buckwalter J. A. A prospective comparison of the jejunoileal and gastric bypass operations for morbid obesity. World J Surg. 1977 Nov;1(6):757–768. doi: 10.1007/BF01555933. [DOI] [PubMed] [Google Scholar]
- Buckwalter J. A., Herbst C. A., Jr Complications of gastric bypass for morbid obesity. Am J Surg. 1980 Jan;139(1):55–60. doi: 10.1016/0002-9610(80)90230-5. [DOI] [PubMed] [Google Scholar]
- Freeman J. B., Burchett H. J. A comparison of gastric bypass and gastroplasty for morbid obesity. Surgery. 1980 Sep;88(3):433–444. [PubMed] [Google Scholar]
- Gomez C. A. Gastroplasty in the surgical treatment of morbid obesity. Am J Clin Nutr. 1980 Feb;33(2 Suppl):406–415. doi: 10.1093/ajcn/33.2.406. [DOI] [PubMed] [Google Scholar]
- Griffen W. O., Jr, Young V. L., Stevenson C. C. A prospective comparison of gastric and jejunoileal bypass procedures for morbid obesity. Ann Surg. 1977 Oct;186(4):500–509. doi: 10.1097/00000658-197710000-00012. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Halverson J. D., Gentry K., Wise L., Ballinger W. F. Reanastomosis after jejunoileal bypass. Surgery. 1978 Aug;84(2):241–249. [PubMed] [Google Scholar]
- Halverson J. D. Obesity surgery in perspective. Surgery. 1980 Feb;87(2):119–127. [PubMed] [Google Scholar]
- Halverson J. D., Wise L., Wazna M. F., Ballinger W. F. Jejunoileal bypass for morbid obesity. A critical appraisal. Am J Med. 1978 Mar;64(3):461–475. doi: 10.1016/0002-9343(78)90233-4. [DOI] [PubMed] [Google Scholar]
- Hermreck A. S., Jewell W. R., Hardin C. A. Gastric bypass for morbid obesity: results and complications. Surgery. 1976 Oct;80(4):498–505. [PubMed] [Google Scholar]
- Lischner M. W., Alexander J. F., Galambos J. T. Natural history of alcoholic hepatitis. I. The acute disease. Am J Dig Dis. 1971 Jun;16(6):481–494. doi: 10.1007/BF02235538. [DOI] [PubMed] [Google Scholar]
- Maini B. S., Blackburn G. L., McDermott W. V., Jr Technical considerations in a gastric bypass operation for morbid obesity. Surg Gynecol Obstet. 1977 Dec;145(6):907–908. [PubMed] [Google Scholar]
- Mason E. E., Ito C. Gastric bypass. Ann Surg. 1969 Sep;170(3):329–339. doi: 10.1097/00000658-196909010-00003. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Mason E. E., Munns J. R., Kealey G. P., Wangler R., Clarke W. R., Cheng H. F., Printen K. J. Effect of gastric bypass on gastric secretion. Am J Surg. 1976 Feb;131(2):162–168. doi: 10.1016/0002-9610(76)90090-8. [DOI] [PubMed] [Google Scholar]
- Mason E. E., Printen K. J., Blommers T. J., Lewis J. W., Scott D. H. Gastric bypass in morbid obesity. Am J Clin Nutr. 1980 Feb;33(2 Suppl):395–405. doi: 10.1093/milmed/146.2.91. [DOI] [PubMed] [Google Scholar]
- Mason E. E., Printen K. J., Hartford C. E., Boyd W. C. Optimizing results of gastric bypass. Ann Surg. 1975 Oct;182(4):405–414. doi: 10.1097/00000658-197510000-00006. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Pace W. G., Martin E. W., Jr, Tetirick T., Fabri P. J., Carey L. C. Gastric partitioning for morbid obesity. Ann Surg. 1979 Sep;190(3):392–400. doi: 10.1097/00000658-197909000-00015. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Peltier G., Hermreck A. S., Moffat R. E., Hardin C. A., Jewell W. R. Complications following gastric bypass procedures for morbid obesity. Surgery. 1979 Oct;86(4):648–654. [PubMed] [Google Scholar]
- Printen K. J., Mason E. E. Gastric bypass for morbid obesity in patients more than fifty years of age. Surg Gynecol Obstet. 1977 Feb;144(2):192–194. [PubMed] [Google Scholar]
- Saltzstein E. C., Gutmann M. C. Gastric bypass for morbid obesity: preoperative and postoperative psychological evaluation of patients. Arch Surg. 1980 Jan;115(1):21–28. doi: 10.1001/archsurg.1980.01380010013003. [DOI] [PubMed] [Google Scholar]
- Saporta J. A., Sr, Cegielski M. M., Organ C. H., Jr Conversion of malfunctioning intestinal bypass to gastric bypass. Surg Gynecol Obstet. 1980 Dec;151(6):801–802. [PubMed] [Google Scholar]
- Tapper D., Hunt T. K., Allen R. C., Campbell J. Conversion of jejunoileal bypass to gastric bypass to maintain weight loss. Surg Gynecol Obstet. 1978 Sep;147(3):353–357. [PubMed] [Google Scholar]