Gastric bypass operation in morbid XXXX .

@entity1 @entity14079 @entity28
During the period 1979-80, 20 @entity1 with morbid @entity28 underwent a gastric bypass procedure in our department. The selected @entity1 were under 50 years old and were overweight by 45 kg or more. Previously, all the @entity1 had unsuccessfully followed prolonged dietary regimes, some had tried dental splinting, and one had undergone three unsuccessful jejunoileal bypasses. The surgical technique used in two cases was transection of the stomach and gastrojejunostomy. In 18 cases, a gastric stapling procedure was performed. the upper gastric pouch was restricted to 5% of the entire stomach, and the gastrojejunostomy was limited to a 12-mm diameter. In the case with the failed jejunoileal bypass, dismantling of the intestinal bypass, reanastomosis, and a gastric bypass were performed in one stage. Weight loss averaged 8 kg/month for three months after the intervention, and then decreased to 2 to 4 kg/month. Laboratory studies after 6 and 12 months showed no deviation from normal. The use of the gastric bypass procedure, which does not involve @entity14079 or serious side effects, in @entity28 results in a satisfactory long-term weight reduction, and an improvement in the quality of life.
