[The surgical treatment of exogenous morbid obesity]

19 patients underwent a subtotal gastric bypass following Griffen as the treatment of their morbid obesity. All patients had a complete follow-up ranging from 18 to 36 months. All patients had a weight reduction, into the proposed norms, f.i. below 20 to 30% above the ideal body weight. The sequelae of the obesity disappeared progressively with the weight reduction. Two patients however developed an anastomotic ulcer more than one year after the intervention (11.2%-2/19 patients). 21 patients died of a leakage after Mason-plasty (1/40 patients-2.5%). A minimal morbidity and mortality can only be obtained by using a meticulous operative technique and a team approach of the patient by medical, nursing, dietary and physiotherapist staffs.