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Related Experiment Videos

Jejunoileal bypass. Long-term results

C H Organ, M M Cegielski, B J Grabner

    Annals of Surgery
    |July 1, 1980
    PubMed
    Summary

    Jejunoileal bypass surgery for morbid obesity showed mixed results, with many patients recommending it despite significant complications and the need for revisions. Further investigation into its associated risks is recommended.

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    Area of Science:

    • Bariatric Surgery
    • Gastroenterology
    • Obesity Medicine

    Background:

    • Morbid exogenous obesity is a significant health concern.
    • The jejunoileal bypass was a surgical option for severe obesity between 1967 and 1977.
    • Patient demographics included a 9:1 female-to-male ratio, with obesity onset often in childhood.

    Purpose of the Study:

    • To assess the effectiveness of the jejunoileal bypass procedure.
    • To evaluate complications and patient satisfaction following the surgery.
    • To determine the long-term outcomes and recommend future use of the procedure.

    Main Methods:

    • A retrospective review of 177 patients who underwent jejunoileal bypass.
    • Assessment of outcomes using ponderal index and percentage of ideal weight.
    • Analysis of complications, diarrhea, need for revision surgery, and patient-reported satisfaction.

    Main Results:

    • Excellent, satisfactory, and poor results varied by assessment parameter (e.g., ponderal index: 38%, 20%, 25%).
    • Complications and diarrhea were reported in a significant percentage of patients.
    • 17% of patients required revision surgery for various reasons, including weight management and diarrhea.

    Conclusions:

    • While 91% of reviewed patients would recommend the procedure, significant complications and revision rates necessitate caution.
    • The effectiveness and safety profile warrant further investigation before continued use.
    • Deferred use pending comprehensive research into associated risks and benefits is advised.

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