Abstract
The birth of, and most of the advances in, bariatric surgery have came from the observations of astute surgeons in their daily practice of surgery. The jejunoileal (JI) bypass evolved from the observation that the short gut syndrome resulted from excising long segments of the small bowel because of vascular injury, cancer, or trauma [1]. The shortened gut resulted in weight loss and then weight maintenance in many of the affected patients. Similarly, the gastric bypass operation developed from the observation that the Billroth-2 operation also caused weight loss and then weight loss maintenance in patients with cancer or ulcer disease [2].
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