Complications of jejunoileal bypass for morbid obesity.
Arch Surg
; 110(8): 1039-42, 1975 Aug.
Article
em En
| MEDLINE
| ID: mdl-1156147
ABSTRACT
Fifty-two patients had jejunoileal bypass surgery. End-to-end (Scott) or end-to-side (Payne) shunts were randomly selected for each patient; 31 standard length shunts and 21 shortened bypasses were performed. Only 22 patients had an acceptable result, whereas 30 patients had inadequate weight loss (less than 2.3 kg [5 lb] per month per year) or had gastrointestinal tract, metabolic, or surgical complications judged severe enough to render the outcome less than adequate. There was one death, and four patients required reanastomosis of the bypass. The primary deteriminant of success was age, ie, younger patients had clearly better results than older patients. In general, shorter shunts produced more weight loss than standard bypass procedures, but were associated with an increased complication rate. Three new complications of jejunolieal bypass are reported acute comonic dilation with necrosis, beriberi, and lupus erythematosus.
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Base de dados:
MEDLINE
Assunto principal:
Complicações Pós-Operatórias
/
Íleo
/
Jejuno
/
Obesidade
Tipo de estudo:
Clinical_trials
/
Etiology_studies
/
Observational_studies
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Prognostic_studies
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Risk_factors_studies
Limite:
Adolescent
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Adult
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Aged
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Female
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Humans
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Male
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Middle aged
Idioma:
En
Ano de publicação:
1975
Tipo de documento:
Article