Kirkpatrick J R
Arch Surg. 1987 May;122(5):610-4. doi: 10.1001/archsurg.1987.01400170116017.
Since 1977, we have managed 56 patients (36 Payne and 20 Scott bypasses) with late (one to 18 years) complications resulting from a jejunoileal bypass. All patients underwent a one-stage conversion of the jejunoileal bypass to a gastric bypass. Patients were classified according to postbypass weight, the need for nutritional support, the type and severity of complication, and the time interval between jejunoileal bypass and the onset of the complication and correction of the complication. There were no operative deaths; one patient died 18 months after surgery of cirrhosis. The complication rate was 34%; however, most complications were minor. Our experience with this procedure has shown it to be highly effective in correcting complications other than polyarthritis. When coupled with nutritional support, it is safe even in malnourished patients.
自1977年以来，我们已对56例因空肠回肠旁路术导致晚期（1至18年）并发症的患者（36例佩恩式和20例斯科特式旁路术）进行了处理。所有患者均接受了空肠回肠旁路术一期转换为胃旁路术。根据旁路术后体重、营养支持需求、并发症类型和严重程度以及空肠回肠旁路术与并发症发生及并发症纠正之间的时间间隔对患者进行分类。无手术死亡病例；1例患者术后18个月死于肝硬化。并发症发生率为34%；然而，大多数并发症为轻微并发症。我们在此手术方面的经验表明，它在纠正除多关节炎以外的并发症方面非常有效。与营养支持相结合时，即使对营养不良的患者也是安全的。
