Junker K, Jensen J B, Jensen H E
Surgical Dept. 1, Kommunehospitalet, Copenhagen, Denmark.
Scand J Gastroenterol. 1981 Apr;16(3):433-6. doi: 10.3109/00365528109181993.
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.
三名年龄在34至35岁之间的女性患者，分别在11年、5年和3年前接受了空回肠旁路手术，随后出现了肾小管酸中毒。此外，其中一名患者在空回肠旁路手术修复两年后出现血清阴性多关节炎，需要使用泼尼松治疗。由于肾小管酸中毒可能导致肾脏损害，并且为了避免复发性肥胖，这些患者接受了同期肠道重建和胃分隔手术。该联合手术迅速治愈了肾小管酸中毒和关节炎，同时使体重持续减轻。
