title: The surgical treatment of morbid obesity: economic, psychosocial, ethical, preventive, medical aspects of health care.
abstract: Surgical treatment of morbid, familial, juvenile-onset obesity in a 37-year-old, 260-pound, mother of three children by jejunoileal bypass was subsequently converted to gastric bypass. The resulting weight loss of 110 pounds resulted in personality changes and changes in family dynamics and was followed by divorce. Medical, psychosocial, and economic aspects of the case are discussed.
mesh_terms: D000328:Adult; D000740:Anemia / Q000209:etiology; D003226:Congresses as Topic; D004992:Ethics, Medical; D005260:Female; D006801:Humans; D007082:Ileum / Q000601:surgery*; D007398:Interpersonal Relations; D007583:Jejunum / Q000601:surgery*; D009765:Obesity / Q000191:economics / Q000517:prevention & control / Q000523:psychology / Q000628:therapy*; D011183:Postoperative Complications; D012959:Socioeconomic Factors