World Journal of Surgery

, Volume 22, Issue 9, pp 925–935

Gastric Bypass Operation for Obesity


  • Mathias A.L. Fobi
    • Cedars Sinai Medical Center, 8700 Beverly Boulevard, Los Angeles, California, 90048, USA
  • Hoil Lee
    • Cedars Sinai Medical Center, 8700 Beverly Boulevard, Los Angeles, California, 90048, USA
  • Ronald Holness
    • Bellwood General Hospital, 10251 E. Artesia Boulevard, Bellflower, California 90706, USA
  • DeGaulle Cabinda
    • Center for Surgical Treatment of Obesity, 10230 E. Artesia Boulevard, Suite 201, Bellflower, California 90706, USA

DOI: 10.1007/s002689900496

Cite this article as:
Fobi, M., Lee, H., Holness, R. et al. World J. Surg. (1998) 22: 925. doi:10.1007/s002689900496

Abstract. Gastric bypass is considered by many to be the gold standard for surgical treatment of obesity. Gastric bypass was a natural evolution from gastric operations that were used for the treatment of peptic ulcer disease. Gastric bypass, first described in 1967, has undergone many modifications. 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 from gastric bypass. Gastric bypass operation is now being performed with a perioperative morbidity of less than 10%. The average percentage excess weight loss with gastric bypass is 70%. The success rate, defined as 50% excess weight loss after at least 2 years of follow-up, is 85%. The metabolic deficiencies of gastric bypass are controllable with supplemental intake. This report with special references to the Fobi pouch operation, a modification of gastric bypass done by the author, presents the evolution, modifications, risks, outcome, and future trends of gastric bypass for treatment of obesity.

Copyright information

© 1997 by the Société Internationale de Chir ugie