GASTRIC BYPASS OPERATION FOR OBESITY

Gastric bypass is considered by many to be the gold standard for surgi cal treatment of obesity. Gastric bypass was a natural evolution from gastric operations that were used for the treatment of peptic ulcer di sease, Gastric bypass, first described in 1967, has undergone many mod ifications. It presently exists as a hybrid operation. Gastric bypass operation has been extensively scrutinized and evaluated against other operations for the treatment of obesity. Co-morbidities due to severe obesity are usually ameliorated or arrested after the weight loss fro m gastric bypass. Gastric bypass operation is now being performed with a perioperative morbidity of less than 10%, The average percentage ex cess weight loss with gastric bypass is 70%. The success rate, defined as 50% excess weight loss after at feast 2 years of follow-up, is 85% , The metabolic deficiencies of gastric bypass are controllable with s upplemental intake. This report with special references to the Fobi po uch operation, a modification of gastric bypass done by the author, pr esents the evolution, modifications, risks, outcome, and future trends of gastric bypass for treatment of obesity.