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Intestinal Bypass for Obesity

Julie is a hypothetical prototype of the person who seeks a jejuno-ileal bypass procedure as a treatment for massive obesity. She is a 32-yearold housewife who cannot remember a time when she was not plump or fat. Carrying 285 pounds on a five-foot, five-inch frame, she is miserable physically and emotionally. She works part time as a nurse's aide, but has a mediocre work record due to chronic fatigue, dyspnea, and back problems. Her physician has told her that her blood pressure of 160/110 and elevated blood sugar could warn of eventual heart disease or diabetes. She presents a somewhat typical picture of the morbidly obese person: obesity from childhood, unsatisfactory response to dietary control and exercise, a sense of powerlessness over body weight, and a body weight at least 100 pounds in excess of recommended weight. For patients like Julie, the jejuno-ileal bypass, or intestinal shunt, to reduce food absorption and body weight may be a last resort measure for a better life. Since the procedure is considered both radical and experimental, it is essential that the patient fully understand its impact before undergoing this surgery. To qualify for this