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Jejunoileal Bypass: Pass It By

Charles B. Clayman, MD; Daniel J. O'Reilly, MD
JAMA. 1981;246(9):988. doi:10.1001/jama.1981.03320090050031.
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Morbid obesity is defined as 100% or more above the ideal body weight, although no uniform definition has been accepted by all concerned. It is a disease that is associated with accelerated degeneration of important organ systems and a diminished quality of life and self-image.1,2 Society often treats the condition with disdain, repulsion, or amusement and the victim as a freak. Acceptance of evidence that survival is decreased in this condition resulted in the development of jejunoileal (J-I) bypass. More recent data question impairment of survival in the absence of such risk factors as hypertension, diabetes, or hyperlipidemia.3 Even more alarming is the number of serious complications that are associated with this procedure as it has found widespread use in many hospitals.

The reports elsewhere in this issue (pp 970, 982) are only the latest in a long list of debilities or disorders produced by the effects of


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