An experience with jejuno-ileal bypass in South Africa.
Gross obesity greatly increases morbidity and mortality. When dietary measures fail, surgery should be considered provided certain strict criteria are met. Jejuno-ileal bypass is successful if the patient is willing to adapt to some changes in lifestyle and submits to regular monitoring. The mortality is low and the morbidity acceptable. The operation should only be carried out in centres where intensive care is available, and the surgeon must ensure that he is backed up by a team on which these patients can depend for continued interest in their future welfare.
D001835:Body Weight; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D007082:Ileum / Q000601:surgery*; D007583:Jejunum / Q000601:surgery*; D008297:Male; D009765:Obesity / Q000628:therapy*