| Jejunoileal bypass for morbid obesity. Report of a series with long-term results. | |
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MedLine Citation:
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PMID: 2596248 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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Of 72 patients who underwent jejunoileal bypass because of morbid obesity, 69 could be evaluated with special reference to long-term (median 11 years) results. One of the other three had fatal anastomotic leakage, one underwent resection and reversal of shunt because of postoperative gangrene in the bypassed segment, and one died of sepsis and liver failure following cholecystectomy 6 months after bypass. The median body mass index (kg/m2) fell from 45.4 preoperatively to 33.2 after 16 years. Shunt-related complications in early and late follow-up were diarrhoea (n = 15), anal/perianal disorders (15), arthralgia (15), urinary calculi (16), cholelithiasis (5), severe flatulence (7), liver cirrhosis (5), intestinal tuberculosis (1), ileitis (1), severe electrolyte disturbance (4), hypomagnesaemia (22), hypokalaemia (8), and deficiency of vitamin B12 (24), iron (24) and folate (17). Although jejunal bypass effectively reduces weight, the patients are at continuous risk of many complications. However, the improvement in quality of life should not be underestimated. |
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Authors:
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I Rasmussen; P Enblad; K E Arosenius |
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Publication Detail:
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Type: Journal Article |
Journal Detail:
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Title: Acta chirurgica Scandinavica Volume: 155 ISSN: 0001-5482 ISO Abbreviation: Acta Chir Scand Publication Date: 1989 Aug |
Date Detail:
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Created Date: 1990-01-23 Completed Date: 1990-01-23 Revised Date: 2007-11-15 |
Medline Journal Info:
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Nlm Unique ID: 7906530 Medline TA: Acta Chir Scand Country: SWEDEN |
Other Details:
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Languages: eng Pagination: 401-7 Citation Subset: IM |
Affiliation:
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Department of Surgery, County Hospital, Falun, Sweden. |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Adolescent Adult Evaluation Studies as Topic Female Follow-Up Studies Humans Jejunoileal Bypass / adverse effects*, mortality Male Middle Aged Nutrition Disorders / etiology Obesity, Morbid / complications, mortality, surgery* Postoperative Complications Weight Loss |
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