New Considerations in Use of Jejunoileal Bypass in Patients with Morbid Obesity

Scott, H. William; Dean, Richard H.; Shull, Harrison; Abram, Harry S.; Webb, Wanda G.; Younger, Rachel K.; Brill, A. B.

doi:10.1097/00000658-197306000-00011

Cited by 101 publications

(27 citation statements)

References 4 publications

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“…Much later, in 2013 [8], we learned that Prof. Garcia of Seville (already deceased) had performed the 1sp malabsorptive JIB [9][10][11][12] in 1973 as recommended by Scott [13].…”

Section: S-beginnings Of Bs In Alcoymentioning

confidence: 99%

Four Decades of Bariatric Surgery in a Community Hospital of Spain

Baltasar¹,

R²,

Bengochea³

et al. 2017

J Obes Weight Loss Ther

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“…Much later, in 2013 [8], we learned that Prof. Garcia of Seville (already deceased) had performed the 1sp malabsorptive JIB [9][10][11][12] in 1973 as recommended by Scott [13].…”

Section: S-beginnings Of Bs In Alcoymentioning

confidence: 99%

Four Decades of Bariatric Surgery in a Community Hospital of Spain

Baltasar¹,

R²,

Bengochea³

et al. 2017

J Obes Weight Loss Ther

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“…Mortality among the grossly obese has been estimated to be three times that of a comparable group of normal weight. Criteria for selection of patients for surgical treatment are: obesity of at least two to three times ideal weight of 10-15 years duration; evidence from both history and attending physician of failure of dietary management over a period of years; absence of correctable endocrinopathy (hypothyroidism, Cushing's syndrome); absence of unrelated significant disease that might increase operative risk; presence of complications such as Pickwickian syndrome, hyperlipidemia, diabetes or hypertension that might be alleviated by obligatory weight loss; and assurance of patient's cooperation in prolonged follow-up [1].…”

Section: Indications For Operation In Morbid Obesitymentioning

confidence: 99%

“…Metabolic complications included (1) laboratory and clinical evidence of hepatocellular injury with ileitis and anemia secondary to heavy bacterial growth in the bypassed bowel (15 %), (2) urinary stones due to hyperoxaluria (15 %), (3) electrolyte and acid-base deficits with persistent diarrhea (12 ~o), (4) arthritis with and without hyperuricemia (10 %), (5) vitamin deficiences and (6) manifestations of other malabsorptive syndromes [1,2].…”

Section: Jejunoileal Bypassmentioning

confidence: 99%

Jejunoileal bypass versus gastric bypass or gastroplasty in the operative treatment of obesity

1982

Langenbecks Arch Chiv

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A comparative study has been made of three methods for the operative treatment of obesity. Of my own cases, 235 underwent a jejunoiliac bypass procedure, and the results have been analyzed: operative lethality 2.1%; postoperative complications 21%. Of the patients whose residual ileum was quite short (about 45 cm), about 70% reached their ideal weight. Metabolic late complications were considerable (e.g., liver damage in 15%, electrolyte deficit in 12%, and arthritis in 10%). In the late observation time of 14 years, 14 patients died, 10 of them as a result of the operation. Three different stomach-bypass procedures are described. The collective statistics compiled on 1585 patients indicated 1.6% postoperative lethality and 22% postoperative complications. Of the total patients. 90% were very satisfied with the procedure and in only 5% was a weight gain recorded after 5 years. The latest procedure is gastroplasty according to the Gomez method: the first 200 cases show 0.5% postoperative lethality and postoperative complications in 18.5%. Although this procedure is technically simple, the late observation time is not yet adequate for a definitive comparison.

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“…subsequently advocated use o f an end-to-end jejunoileostomy rather than the end-to-side operation. Subsequently, the same group of investigators demonstrated increased weight loss by decreasing the length o f the ileal seg ment; however, complications were also higher with this procedure [6]. The mechanism for the weight loss follow ing jejunoileal bypass is probably multifacto rial.…”

mentioning

confidence: 93%