Gastric bypass for morbid obesity. A medical-surgical assessment

J. D. Halverson, G. R. Zuckerman, R. E. Koehler, K. Gentry, Helen Michael, K. DeSchryver-Kecskemeti

Research output: Contribution to journalArticle

110 Citations (Scopus)

Abstract

With the operative modifications and dietary guidelines described in this report, death and complications from gastric bypass were minimal, and weight loss was marked. Ninety per cent of a group of 69 patients lost more than half of their excess weight within the first two years after operation. Stringent preselection of patients for operation was crucial to the success of the operation, and marked alterations of eating behaviour was necessary to achieve the weight loss. Mild electrolyte deficiencies and hypovitaminosis occurred in up to one-fourth of the patients. While none of these abnormalities was harmful to the patients, and all were easily corrected, their occurrence demonstrates the importance of long-term follow-up after the operation. We conclude that gastric bypass, with a 50-60 cc pouch and a small (1-1.2 cm) gastrojejunostomy, remains the operation of choice for morbid obesity.

Original languageEnglish (US)
Pages (from-to)152-160
Number of pages9
JournalAnnals of Surgery
Volume194
Issue number2
StatePublished - 1981
Externally publishedYes

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Gastric Bypass
Morbid Obesity
Weight Loss
Nutrition Policy
Feeding Behavior
Electrolytes
Weights and Measures

ASJC Scopus subject areas

  • Surgery

Cite this

Halverson, J. D., Zuckerman, G. R., Koehler, R. E., Gentry, K., Michael, H., & DeSchryver-Kecskemeti, K. (1981). Gastric bypass for morbid obesity. A medical-surgical assessment. Annals of Surgery, 194(2), 152-160.

Gastric bypass for morbid obesity. A medical-surgical assessment. / Halverson, J. D.; Zuckerman, G. R.; Koehler, R. E.; Gentry, K.; Michael, Helen; DeSchryver-Kecskemeti, K.

In: Annals of Surgery, Vol. 194, No. 2, 1981, p. 152-160.

Research output: Contribution to journalArticle

Halverson, JD, Zuckerman, GR, Koehler, RE, Gentry, K, Michael, H & DeSchryver-Kecskemeti, K 1981, 'Gastric bypass for morbid obesity. A medical-surgical assessment', Annals of Surgery, vol. 194, no. 2, pp. 152-160.
Halverson JD, Zuckerman GR, Koehler RE, Gentry K, Michael H, DeSchryver-Kecskemeti K. Gastric bypass for morbid obesity. A medical-surgical assessment. Annals of Surgery. 1981;194(2):152-160.
Halverson, J. D. ; Zuckerman, G. R. ; Koehler, R. E. ; Gentry, K. ; Michael, Helen ; DeSchryver-Kecskemeti, K. / Gastric bypass for morbid obesity. A medical-surgical assessment. In: Annals of Surgery. 1981 ; Vol. 194, No. 2. pp. 152-160.
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