Abstract
The morbidly obese individual has been defined by Scott et al1 as “one who has reached two or three or more times his ideal weight and who has maintained this level for five years or more despite efforts by himself, his family, and his physican to bring about effective and sustained reduction of weight to acceptable medical standards.” Morbid obesity has also been defined as “greater than 100 pounds over insurance table” ideal weight.2 It is likely that operations designed to reduce weight in the morbidly obese individual will gradually assume increasing importance once the indications are better defined, further improvements in operative techniques are made, and the complications better understood and treated. The various surgical procedures currently being employed for the treatment of obesity will be reviewed and an analysis made of the complications.
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References
Scott HW Jr, Law DH IV, Sandstead HH, et al: Jejunoileal shunt in surgical treatment of morbid obesity. Ann Surg 171: 770, 1970.
Payne JH, DeWind LT: Surgical treatment of obesity. Am J Surg 118: 141, 1969.
Kremen AJ, Linner JH, Nelson C: An experimental evaluation of the nutritional importance of proximal and distal small intestine. Ann Surg 140: 439, 1954.
Payne JH: Metabolic observations in patients with jejunocolic shunts. Am J Surg 106: 273, 1963.
Lewis LA, Turnbull RB, Page IH: “Short circuiting” of the small intestine. JAMA 182: 77, 1962.
Lewis LA, Turnbull RB, Page IH: Effects of jejunocolic shunt on obesity, serum lipoproteins, lipids and electrolytes. Arch Intern Med 117: 4, 1966.
Sherman CD Jr. May AG, Nye W, et al: Clinical and metabolic studies following bowel bypassing for obesity. Ann NY Acad Sci 131: 614, 1965.
Salmon PA: The results of small intestinal bypass operations for the treatment of obesity. Surg Gynecol Obstet 132: 965, 1971.
Schwartz MZ, Varco RL, Buchwald H: Preoperative preparation, operative technique and postoperative care of patients undergoing jejunoileal bypass for massive exogenous obesity. J Surg Res 14: 147, 1973.
DeWind LT, Payne HJ: Intestinal bypass surgery for morbid obesity. JAMA 236: 2298, 1976.
Benfield JR, Greenway FL, Bray GA, et al: Experience with jejunoileal bypass for obesity. Surg Gynecol Obstet 143: 401, 1976.
Payne JH, DeWind L, Schwab CE, et al: Surgical treatment of morbid obesity. Arch Surg 106: 432, 1973.
Buchwald H, Varco RL: A bypass operation for obese hyperlipidemics. Surgery 70: 62, 1970.
Buchwald H, Varco RL, Moore RB, et al: Intestinal bypass procedures. Curr Probl Surg April, 1975.
Printen KJ, Mason EE: Gastric surgery for relief of morbid obesity. Arch Surg 106: 428, 1973.
Mason EE, Ito C: Gastric bypass. Ann Surg 170: 329, 1969.
Mason EE, Printen KJ, Hartford CE, et al: Optimizing results of gastric bypass. Ann Surg 182: 405, 1975.
Soper RT, Mason EE, Printen KJ, et al: Gastric bypass for morbid obesity in children and adolescents. J Pediatr Surg 10: 51, 1975.
Bray GA, Barry RE, Benfield JR, et al: Intestinal bypass operation as a treatment of obesity. Ann Intern Med 85: 97, 1976.
Fried PI, McClean PA, Phillipson EA, et al: Effect of ketosis on respiratory sensitivity to carbon dioxide in obesity. NEngl JMed 294: 1081, 1976.
Freeman JB, Stegink LD, Meyer D, et al: Metabolic effects of amino acid vs. dextrose infusions in surgical patients. Arch Surg 110: 916, 1975.
Blackburn GL, Bistrian BR: Surgical technique in the treatment of adolescent obesity, in Collip PJ (ed): Childhood Obesity, Acton, Mass, Publishers Science Group, 1975.
Marks HH: Influence of obesity on morbidity and mortality. Bull NYAcad Med 36: 296, 1960.
Tice DA: Low dosage of heparin. Surg Gynecol Obstet 143: 970, 1976.
Scott HW Jr, Sandstead HH, Brill AG, et al: Experience with a new technique of intestinal bypass in the treatment of morbid obesity. Ann Surg 174: 560, 1971.
Brill AB, Sandstead HH, Price R, et al: Changes in body composition after jejunoileal bypass in morbidly obese patients. Am J Surg 123: 49, 1973.
Bray GA: The Obese Patient. Philadelphia, WB Saunders Co, 1976.
Shibata HR, MacKenzie JR, Long RC: Metabolic effects of controlled jejunocolic bypass. Arch Surg 95: 413, 1967.
Scott HW Jr, Law DH IV: Clinical appraisal of jejunoileal shunt in patients with morbid obesity. Am J Surg 171: 246, 1969.
Earnest DL, Williams HE, Admirand WH: Excessive absorption of oxalates contributes to hyperoxaluria in patients with ileal disease. Gastroenterology 64: A40, 1973.
Wise L, Stein T: Biliary and urinary calculi. Pathogenesis following small bowel bypass for obesity. Arch Surg 110: 1043, 1975.
Freeman JB, Meyer PB, Printen KB, et al: Analysis of gallbladder bile in morbid obesity. Am J Surg 131: 169, 1976.
Passaro E Jr, Drenick E, Wilson SE: Bypass enteritis. A new complication of jejunoileal bypass for obesity. Am J Surg 131: 169, 1976.
Zelman S: The liver in obesity. Arch Intern Med 90: 141, 1952.
Heimburger SL, Steiger E, Logerfo P, et al: Reversal of severe fatty hepatic infiltration after intestinal bypass for morbid obesity by calorie-free amino acid infusion. Am J Surg 129: 229, 1975.
Blackburn GL, Hatt JP, Hensle TW: Peripheral amino acid infusions, in Fischer J (ed): Total Parenteral Nutrition, Boston, Little Brown Company, 1976.
Backman L: The rate of weight loss after intestinal bypass operations for obesity: an analysis of factors of significance. Acta Chir Scand 141: 424, 1975.
Scott HW Jr, Dean R, Shull HJ: New considerations in use of jejunoileal bypass in patients with morbid obesity. Ann Surg 177: 723, 1973.
Weismann RE: Surgical palliation of massive and severe obesity. Am J Surg 125: 437, 1973.
Scott HW Jr, Brill AB, Price R: Body composition in morbidly obese patients before and after jejunoileal bypass. Ann Surg 182: 395, 1975.
Mason EE, Ito C: Gastric bypass in obesity. Surg Clin North Am 47: 1345, 1967.
Yang MU, Van Itallie TB: Composition of weight loss during short-term weight reduction. Metabolic response to starvation and low-calorie ketogenic and non-ketogenic diets. J Clin Invest 58: 722, 1976.
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Maini, B.S., Blackburn, G.L. (1982). Surgical Approaches to Morbid Obesity. In: Vitale, J.J., Broitman, S.A. (eds) Advances in Human Clinical Nutrition. Springer, Dordrecht. https://doi.org/10.1007/978-94-009-8290-1_13
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DOI: https://doi.org/10.1007/978-94-009-8290-1_13
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