Rogerian Argument: Jejunocolic Bypass and Gastric Bypass

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In 1963 the first Jejunocolic Bypass was performed, replacing barbaric procedures such as jaw wiring. The Jejunocolic Bypass was a type of bypass that rerouted and shortened the intestines creating weight loss by mal-absorption. Patients who had this procedure done would lose a substantial amount of weight in their first year after operation, but with complications.

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The complications were so severe that the procedure would be discontinued, and in 1969 the Jejunoileal Bypass was introduced. The first introduction of this procedure would be named Jejunoileostomy, and in 1976 a second revised version would be introduced. The revised version would be called jejunoileal bypass and caused extremely severe complications. The Jejunocolic Bypass was known to cause mal-absorption, and severe diarrhea, but its revised version, the jejunoileal bypass, caused a severe vitamin deficiency and neuropathy that would push the mortality rate to four percent. The jejunoileal bypass would then also be abandoned and in 1979 the Biliopancreatic Diversion would be performed, which would then later be converted to the Biliopancreatic Diversion with Duodenal Switch in 1993. It is important to note that gastric banding would also be introduced in the late 70’s, and is still available today, but most surgeons will not perform it due to complications. The preferred method of weight loss surgery used today is the Roux-en-Y Gastric Bypass, which is the final form converted from the Jejunocolic Bypass, Jejunoileal bypass, and both forms of the Biliopancreatic Diversion.

Roux-en-Y Gastric Bypass is the most popular, and most used weight lost surgery option today. Most medical centers that are approved to perform weight loss surgery will only offer Roux-en-Y,

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