Jewell W R, Hermreck A S, Hardin C A
Arch Surg. 1975 Aug;110(8):1039-42. doi: 10.1001/archsurg.1975.01360140183036.
Fifty-two patients had jejunoileal bypass surgery. End-to-end (Scott) or end-to-side (Payne) shunts were randomly selected for each patient; 31 standard length shunts and 21 shortened bypasses were performed. Only 22 patients had an acceptable result, whereas 30 patients had inadequate weight loss (less than 2.3 kg [5 lb] per month per year) or had gastrointestinal tract, metabolic, or surgical complications judged severe enough to render the outcome less than adequate. There was one death, and four patients required reanastomosis of the bypass. The primary deteriminant of success was age, ie, younger patients had clearly better results than older patients. In general, shorter shunts produced more weight loss than standard bypass procedures, but were associated with an increased complication rate. Three new complications of jejunolieal bypass are reported: acute comonic dilation with necrosis, beriberi, and lupus erythematosus.
52例患者接受了空肠回肠分流术。为每位患者随机选择端对端（斯科特式）或端对侧（佩恩式）分流术；进行了31例标准长度分流术和21例缩短分流术。只有22例患者取得了可接受的结果，而30例患者体重减轻不足（每年每月小于2.3千克[5磅]）或出现了被判定为严重到足以使结果不尽人意的胃肠道、代谢或手术并发症。有1例死亡，4例患者需要对分流术进行重新吻合。成功的主要决定因素是年龄，即年轻患者的结果明显优于老年患者。一般来说，较短的分流术比标准分流术减重更多，但并发症发生率更高。报告了空肠回肠分流术的三种新并发症：急性结肠扩张伴坏死、脚气病和红斑狼疮。
