Bariatric Surgery in its InfancyJ. Patrick O’Leary, MD, FACS

Uncharted Land

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An experimental evaluation of the nutritional importance of the proximal and distal intestine

Kremen, A.J., Linner, J.H., Nelson, C.H.

Ann Surg, 140: 439, 1954

John LinnerJohn Linner

Jejunum -- 90 cm Ileum -- 45 cm End to End Ileo-cecal Valve Intact Reversible

Revised Pt. died at 61 in 1981

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Discussion Opened by Dr. Philip Sandblom

of Lund, Sweden

“A Swedish surgeon, Dr. V. Henrikson of Gothenburg, tried to control obesity in a woman whose appetite was better than her character, by resection of an appropriate amount of the small intestine.”

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Payne, J.H., DeWind, L.T., and Commons, R.R.

Am J Surg 106:273, 1963

Ten patients --- Jejunocolic Shunt One death at 6 months of a PE (Autopsy Confirmed) Weight Range --- 242 - 391Lbs (125 lbs over IBW) Biopsies --- Liver, Kidney, Intestine– Documented fatty liver, normal kidney and intestine

IV and PO GTT Preoperative– Demonstrated profound improvement in glucose metabolism

Detailed Biochemical Evaluation on All Planned Revision to Normal Continuity Modified to Jejunoileal Shunt (3 patients)

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Surgical treatment of obesity– Payne, J.H., DeWind, L.T.– Am J Surg 118:141, 1969

Gastric bypass in obesity– Mason, E.E., Ito, C.– Surg Clin North Am 47:1345 1967

Gastric surgery for relief of morbid obesity– Printen, K.J., Mason, E.E– Arch. Surg.,106:428, 1973

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Ed MasonEd Mason

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Mason contacted a Colleagues Suggested a meeting in Iowa City in June of 1977 Topic --- Surgical Intervention for Morbid Obesity About 7 surgeons attended Antidotal Presentations Dinner at Mason’s house Agreed on another meeting the following June Antecedent of the ASBS now the ASMBS

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Mason, E.E. Printen, K.J. O’Leary, J.P. Terry, B. Thomas, J. Wilkinson, L,H. Alden, J. Several Others

Later : Halverson, Brolin, Drew, Gomez, Fabito, Eckhout, Wilbanks, MacGregor, Pace, Gianetta, Scopinaro, Laws, Tretbar, Sugerman, Deitel, Cowan, Molina, Flickinger, Holian, and a host of others

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