| Metabolic intestinal surgery. Its complications and management. | |
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MedLine Citation:
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PMID: 1131009 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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From November 1970 to August 1974 small intestinal bypass was performed in 475 patients for morbid obesity with an operative mortality of 1.6%. Immediate postoperative complications were superficial wound infection (17 patients), pulmonary complications (seven patients), cardiac complications (five patients), wound dehiscence (nine patients), intestinal tract fistula (four patients), and miscellaneous complications (14 patients). Delayed complications included hypokalemia (28%), hypocalcemia (9%), anemia (11%), calcium oxalate urinary calculi (6%), gout (2%), and hepatic failure (1.4%). Fourteen patients died of late complications. Ventral incisional hernia occurred in 3% of the patients; failure to lose sufficient weight in 21%, all but one occurring in patients with end-to-side shunts. Thirteen end-to-side shunts have been converted to end-to-end shunts because of insufficient weight loss. A team concept is important in the handling of the morbidly obese. Small bowel bypass is effective in producing sustained weight reduction in these patients. Careful and continued study of these patients for the rest of their lives is of paramount importance. |
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Authors:
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G B Starkloff; J F Donovan; K R Ramach; B M Wolfe |
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Publication Detail:
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Type: Journal Article |
Journal Detail:
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Title: Archives of surgery (Chicago, Ill. : 1960) Volume: 110 ISSN: 0004-0010 ISO Abbreviation: Arch Surg Publication Date: 1975 May |
Date Detail:
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Created Date: 1975-07-20 Completed Date: 1975-07-20 Revised Date: 2004-11-17 |
Medline Journal Info:
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Nlm Unique ID: 9716528 Medline TA: Arch Surg Country: UNITED STATES |
Other Details:
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Languages: eng Pagination: 652-7 Citation Subset: AIM; IM |
Export Citation:
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APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
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Anemia
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epidemiology Body Weight Follow-Up Studies Heart Diseases / epidemiology Humans Hypocalcemia / epidemiology Hypokalemia / epidemiology Ileum / surgery Intestinal Fistula / epidemiology Intestine, Small / surgery* Jejunum / surgery Lung Diseases / epidemiology Methods Missouri Obesity / surgery* Postoperative Complications / epidemiology, mortality Recurrence Surgical Wound Dehiscence / epidemiology Surgical Wound Infection / epidemiology Urinary Calculi / epidemiology |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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