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Jejunoileal bypass and the defunctioned bowel syndrome.
Surg Gynecol Obstet. 1979 Jun; 148(6):844-6.SG

Abstract

Sixty-six patients who had a jejunoileal bypass with ileosigmoidostomy for intractable obesity were reviewed. Thirty-three patients had sudden, severe, upper pain develop in the abdomen with distention from one to four years after the original operation. All 33 patients had a repeat laparotomy from one to six years after the initial bypass procedure. In every instance, a dilated, hypertrophied defunctioned ileum was found proximal to the ileosigmoidostomy. In 11 patients, an ileosigmoid volvulus was present. In every instance, the ileosigmoid anastomosis was dismantled and an end-to-side ileotransversostomy performed. In one patient, an ileal volvulus developed proximal to the ileotransversostomy because of an inadvertent technicality and this was corrected by reoperation. The remaining 32 patients have been asymptomatic since the ileosigmoidostomy was converted to ileotransversostomy. To date, in more than 200 primary operations for morbid obesity, the ileum has been drained into the transverse colon. None of these patients have had obstruction of the defunctioned small bowel develop.

Authors

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Pub Type(s)

Journal Article

Language

eng

PubMed ID

451806

Citation

Gourlay, R H., and K G. Evans. "Jejunoileal Bypass and the Defunctioned Bowel Syndrome." Surgery, Gynecology & Obstetrics, vol. 148, no. 6, 1979, pp. 844-6.
Gourlay RH, Evans KG. Jejunoileal bypass and the defunctioned bowel syndrome. Surg Gynecol Obstet. 1979;148(6):844-6.
Gourlay, R. H., & Evans, K. G. (1979). Jejunoileal bypass and the defunctioned bowel syndrome. Surgery, Gynecology & Obstetrics, 148(6), 844-6.
Gourlay RH, Evans KG. Jejunoileal Bypass and the Defunctioned Bowel Syndrome. Surg Gynecol Obstet. 1979;148(6):844-6. PubMed PMID: 451806.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Jejunoileal bypass and the defunctioned bowel syndrome. AU - Gourlay,R H, AU - Evans,K G, PY - 1979/6/1/pubmed PY - 1979/6/1/medline PY - 1979/6/1/entrez SP - 844 EP - 6 JF - Surgery, gynecology & obstetrics JO - Surg Gynecol Obstet VL - 148 IS - 6 N2 - Sixty-six patients who had a jejunoileal bypass with ileosigmoidostomy for intractable obesity were reviewed. Thirty-three patients had sudden, severe, upper pain develop in the abdomen with distention from one to four years after the original operation. All 33 patients had a repeat laparotomy from one to six years after the initial bypass procedure. In every instance, a dilated, hypertrophied defunctioned ileum was found proximal to the ileosigmoidostomy. In 11 patients, an ileosigmoid volvulus was present. In every instance, the ileosigmoid anastomosis was dismantled and an end-to-side ileotransversostomy performed. In one patient, an ileal volvulus developed proximal to the ileotransversostomy because of an inadvertent technicality and this was corrected by reoperation. The remaining 32 patients have been asymptomatic since the ileosigmoidostomy was converted to ileotransversostomy. To date, in more than 200 primary operations for morbid obesity, the ileum has been drained into the transverse colon. None of these patients have had obstruction of the defunctioned small bowel develop. SN - 0039-6087 UR - https://www.unboundmedicine.com/medline/citation/451806/Jejunoileal_bypass_and_the_defunctioned_bowel_syndrome_ L2 - https://medlineplus.gov/obesity.html DB - PRIME DP - Unbound Medicine ER -