Does bilio-intestinal bypass still have a role in the treatment of super-obesity?

Background: Super-obesity (BMI > 50) is life-threatening. The jejunoileal bypass had potential long-term problems, and weight loss with gastroplasty may be inadequate, Methods: From 1988 to 1995, 19 patients with morbid obesity had jejunoileal bypass with anastomosis of the fundus of the gallbladder to the proximal end of the bypassed jejunum. Of these patients, 11 were superobese, with ages 19-49 years, weight 125-172 kg, mean excess weight 97 kg (73-119) and BMI 56 (50-67), Results: Mean weight loss at 3 years was 60 kg, There was no mortality and no major complications. Patients had 5-6 stools per day and some flatulence. There have been no hepatic, renal, calcium or electrolyte problems, Diseases secondary to obesity resolved, Conclusion: Bilio-intestinal bypass has been effective and safe thus far.