Evaluation of quality of life and metabolic improvement after jejunoileal bypass in a community of low socioeconomic status.
BACKGROUND
Bariatric operations are currently the only effective treatment for morbid obesity The first operation, jejunoileal bypass (JIB), has been superceded. However, JIB has left a heritage which must be followed. We report the long-term follow-up of a series of patients who had undergone JIB in south Brazil.


METHODS
49 super-obese patients (85% female) from a poor community were submitted to JIB from 1987 to 2001. 5 deaths occurred and 4 patients were lost during follow-up. Quality of life was evaluated by means of the Bariatric Analysis and Reporting Outcome System (BAROS) applied to 40 patients.


RESULTS
Preoperatively, 11 patients (22.4%) were diabetic,13 (26.5%) were dyslipidemic, and 23 (46.9%) had high blood pressure. After a mean postoperative period of 64.3 +/- 40.0 months, there was complete resolution of co-morbidites in all patients. Mean preoperative BMI was 52.8 +/- 10.3 kg/m(2), and the postoperative mean excess weight loss was 58.9% +/- 18.9%.


CONCLUSIONS
JIB was adequate in reduction of weight, resolution of co-morbidites, and improvement in the quality of life as measured by BAROS. Since February 2001, we perform biliopancreatic diversion with duodenal switch, but we continue to follow our patients with JIB.
Division of Endocrinology, Fundação Faculdade Federal de Ciênçias Médicas, Hospital Nossa Senhora da Conceição, Class III Obesity Care Center, Rua Francesco Trein, 596 Porto Alegre, Rio Grande do Sul, CEP:91350-200 Brazil.
Katia Elisabete Pires
KE
Souto
Nelson Guardiola
NG
Meinhardt
Airton Tetelbom
AT
Stein
D000328:Adult; D015897:Comorbidity; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D007581:Jejunoileal Bypass; D008297:Male; D008875:Middle Aged; D009767:Obesity, Morbid / Q000453:epidemiology; D011788:Quality of Life; D012923:Social Class; D016896:Treatment Outcome