Ileogastrostomy or jejunoileal bypass with drainage of the bypassed bowel into the stomach.
Ileogastrostomy was first performed for morbid obesity in 1982. In this review, the rationale and technique for the operation are described, and the results and complications discussed. An interesting aspect in a changing world is the lack of modification that has occurred in the surgery, and the possibility of long-term results which are rare in bariatric surgery. The techniques of wound closure have changed, however. The surgery is simple to perform and achieves excellent weight loss and reversal of co-morbid conditions such as non-insulin-dependent diabetes mellitus, but requires long-term follow-up. The principal long-term problem is calcium oxalate renal stones, with occasional patients having troublesome diarrhoea.
Cleator
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St Paul's Hospital, and University of British Columbia, Vancouver, Canada. cleator@interchg.ubc.ca
Polyakov
G
G
Birmingham
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CL
D000293:Adolescent; D000328:Adult; D002129:Calcium Oxalate; D003924:Diabetes Mellitus, Type 2 / Q000628:therapy; D003967:Diarrhea / Q000209:etiology; D005260:Female; D005500:Follow-Up Studies; D005763:Gastroenterostomy / Q000009:adverse effects / Q000379:methods*; D006801:Humans; D007082:Ileum / Q000601:surgery; D007581:Jejunoileal Bypass / Q000009:adverse effects / Q000379:methods*; D007669:Kidney Calculi / Q000209:etiology; D008137:Longitudinal Studies; D008297:Male; D008875:Middle Aged; D009767:Obesity, Morbid / Q000150:complications / Q000601:surgery*; D013536:Suture Techniques; D015431:Weight Loss
D002129:Calcium Oxalate