[Jejuno-ileal bypass in the treatment of severe obesity: transverse or vertical approach?].
The criteria applicable to the selection of the approach route in the surgical management of essential gross obesity by means of a jejunal-ileal by-pass are discussed. Median vertical and transverse incision are compared in the light of early and late hypoxaemia in the immediate postoperative period; postoperative acidosis and alkalosis; rapidity; exposure; extendibility; tightness; postoperative pain; cosmetic results. A preference for the vertical approach is both stated and justified.
D006801:Humans; D007421:Intestine, Small / Q000601:surgery*; D008722:Methods; D009765:Obesity / Q000628:therapy*
Il by-pass digiuno-ileale nel trattamento dell'obesità d'alto grado: via di accesso verticale o trasversale?