What operation is not advised for morbid obesity:
|D||Bilio – pancreatic diversion|
a. It is not advised for morbid obesity.
b. Rest all surgery advised for morbid obesity.
Morbid obesity is defined as BMI >40
a. Jejunoileal bypass surgery has been abandoned because of complication, which included electrolyte disturbances, nephrolithiasis, gallstones, gastric ulcers, arthritis, and hepatic dysfunction.
b. Two procedures in common use today are the vertical-banded gastroplasty and the Roux-en-Y gastric bypass.
c. The former is a purely restrictive procedure, while the latter combines restriction with slight malabsorption and may also reduce appetite via suppression of the gastric hormone ghrelin, which stimulates appetite.
d. A third procedure, laparoscopic adjustable gastric banding, is widely used.
e. This procedure may be viewed as “less drastic” than gastric bypass but appears capable of producing substantial weight loss, albeit with shorter periods of follow-up.