Jejuno-ileal bypass for morbid obesity with 24 cm functioning ileum.

26 patients have had jejuno-ileal bypass for morbid obesity. 24 cm of proximal jejunum was anastomosed end-to-side to 24 cm of terminal ileum. Weight loss has been adequate, averaging 70% of ideal weight. Complications have mostly been transient and easily remediable on an out-patient basis. One patient was converted to gastric partitioning because of diarrhea. No other serious complications occurred. The authors recommend further trails with the 24/24 cm version of jejuno-ileal bypass for morbid obesity, complemented with cholecysto-jejunostomy to the proximal end of the excluded small bowel.