[Treatment of pathological obesity biliopancreatic bypass operations: one-year follow-up of 10 cases (author's transl)]. / Traitement de l'obésité pathologique avec by-pass biliopancréatique. A propos de 10 sujets un an après l'intervention.

A biliopancreatic bypass operation has been used to treat obese patients since June 1978, and 10 women have been followed-up for over a year. Biliopancreatic shunts reduce food absorption by eliminating enzymatic and biliary secretion activity in the intestinal lumen. Bodyweight loss was satisfactory, was proportional to excess weight, and was evaluated as being a mean of 33.1 kg. The constant and sometimes dramatic diarrhea provoked by conventional jejuno-ileal bypass operations was not observed. Hepatic steatosis, frequently present to varying degrees, was never made worse : in one case it even disappeared completely, while in another case biological tests conducted one year after operation showed considerable regression. Neither severe complications nor mortality were reported in this series.

Skin grafts in the surgical treatment of incisional hernias.

The results of dermal or autologous full-thickness skin graft implantation in a series of 20 patients are reported. Seventeen patients were affected by incisional hernia, 2 by a large umbilical hernia and 1 by fibromatosis of the abdominal wall. The surgical procedure is described together with the histological findings of the skin grafts, 4 years after implantation.