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Two-Stage Laparoscopic Approach for Jejunoileal Bypass Reversal

[...]of the increasing prevalence of morbid obesity, weight loss operations have gained popularity.1, 2 Bariatric surgeries have been reported back to the 1950s.2 More than 100,000 jejunoileal bypass (JIB) operations were done before the severe complications of this procedure were determined. The JI...

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Bibliographic Details
Published in:The American surgeon 2016-12, Vol.82 (12), p.331-332
Main Authors: Ardila-Gatas, Jessica, Guerron, Alfredo D., Kroh, Matthew, Rodriguez, John
Format: Article
Language:English
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Summary:[...]of the increasing prevalence of morbid obesity, weight loss operations have gained popularity.1, 2 Bariatric surgeries have been reported back to the 1950s.2 More than 100,000 jejunoileal bypass (JIB) operations were done before the severe complications of this procedure were determined. The JIP operation was considered the most effective bariatric surgery during the 1950s and 1970s.1, 3 Unfortunately, this malabsorptive state was accompanied by numerous severe and life-threatening complications for which this surgery was abandoned.1 Some of the complications found with JIB include renal failure, diarrhea with electrolyte imbalances, calcium oxalate nephrolithiasis, cutaneous eruptions, febrile states, impaired mentation, liver disease, fat-soluble vitamin deficiencies, malnutrition, and death.1, 3 It is believed that bacteria stasis and overgrowth in the bypassed intestinal segment resulted in toxins and alcohols that led to some of these complications.3 Proper identification of these patients population is rare and challenging.
ISSN:0003-1348
1555-9823
DOI:10.1177/000313481608201201