JEJUNOILEOSTOMY IN PREVENTION AND TREATME NT OF ATHEROSCLEROSIS IN OBESE PATIENTS

Jejunoileostomy effects on blood lipids and cardiovascular system were investigated in obese patients. They were found to lose 30% of their body mass within 6 postoperative months with parallel reduction in con centrations of total cholesterol, triglycerides, LDL and VLDL choleste rol and apoprotein B. These changes persisted for 4.5 years of the fol low-up. The surgery in males has a more pronounced effect on blood lip ids than in females. Significant changes were not registered in post- and preoperative levels of HDL cholesterol and apolipoprotein A-1. Jej unoileostomy promoted a fall in blood pressure, a rise in exercise tol erance, alleviation of atherosclerosis symptoms.