Simultaneous small-intestinal reconstruction and gastric partitioning as treatment for complications after jejunoileal bypass for morbid obesity.
Three female patients aged 34-35 years, who underwent jejunoileal bypass 11, 5, and 3 years ago, respectively, developed renal tubular acidosis. Furthermore, one of the patients needed prednisone for seronegative polyarthritis that developed 2 years after a revision of her jejunoileal bypass. Because of the possible risk of renal damage from renal tubular acidosis and to avoid recurrent obesity, the patients were offered a simultaneous intestinal reconstruction and gastric partitioning. This combined procedure promptly cured the renal tubular acidosis and the arthritis and simultaneously produced a maintained weight loss.
Junker
K
K
Surgical Dept. 1, Kommunehospitalet, Copenhagen, Denmark.
Jensen
J B
JB
Jensen
H E
HE
D000328:Adult; D005260:Female; D005500:Follow-Up Studies; D015391:Gastroplasty / Q000379:methods*; D006801:Humans; D007421:Intestine, Small / Q000601:surgery*; D007581:Jejunoileal Bypass / Q000009:adverse effects*; D009767:Obesity, Morbid / Q000601:surgery*; D011183:Postoperative Complications; D012086:Reoperation