Robertson J W, Woodward E R
South Med J. 1985 Nov;78(11):1314-6. doi: 10.1097/00007611-198511000-00010.
The jejunoileal bypass (JIB) has met with increasing disfavor as a result of its unacceptably high complication rate. JIB reversal was done in 54 patients at the University of Florida, with a gastric partition done concomitantly to avoid regaining weight. Weight control was generally adequate up to six months after conversion to gastric partition. However, mean weight gain progressed steadily afterward to a mean increase of 40% at three years. Six months after conversion to gastric partition, 55% of the patients (15/27) had gained weight, contrasted with 3% of 100 patients who had a gastric partition as a primary procedure. The percentage of patients gaining weight progressed until at three-year follow-up 30 of the 38 patients (79%) in this subpopulation showed a failure to control weight. It is apparent from these data that jejunoileal bypass has created a nutritional life-style that predisposes patients to hyperphagia. Conversion to a gastric partition has a much higher incidence of failure than gastric partition done de novo.
由于空肠回肠分流术（JIB）的并发症发生率高得令人难以接受，它已越来越不受青睐。佛罗里达大学对54例患者进行了JIB逆转术，并同时进行了胃分隔术以避免体重反弹。在转为胃分隔术后长达六个月的时间里，体重控制总体上是足够的。然而，此后平均体重稳步增加，到三年时平均增加了40%。转为胃分隔术后六个月，55%的患者（15/27）体重增加，相比之下，100例将胃分隔术作为初次手术的患者中这一比例为3%。体重增加的患者百分比持续上升，直到在三年随访时，该亚组38例患者中有30例（79%）体重控制失败。从这些数据可以明显看出，空肠回肠分流术造成了一种易导致患者食欲亢进的营养生活方式。转为胃分隔术的失败发生率比初次进行胃分隔术要高得多。
