Charuzi I, Grizim D, Peiser J, Solomon H, Ovnat A
Isr J Med Sci. 1984 Dec;20(12):1183-5.
This study was undertaken in order to evaluate the implications of substituting a failed jejunoileal bypass with a gastric bypass, another bariatric procedure. During the same operation, the jejunoileal bypass is taken down and a Roux-en-Y gastric bypass created. All 12 patients who underwent the procedure and who form the basis for this study survived. In comparison with patients who underwent gastric bypass alone during the same period, peri- and postoperative morbidity did not increase. Following this operation blood glucose levels and arterial blood pressure decreased as the patients with the failed jejunoileal bypass lost weight. Serum cholesterol and triglyceride levels, which are known to decrease significantly after jejunoileal bypass, slightly increased but always remained within normal range after substitution by the gastric bypass. All patients who underwent the combined operation showed a dramatic improvement in life quality. We conclude that the simultaneous performance of these two procedures is a preferable alternative to the take-down alone of the original unsuccessful procedure.
本研究旨在评估用另一种减肥手术——胃旁路手术替代失败的空回肠旁路手术的意义。在同一手术过程中，拆除空回肠旁路并创建Roux-en-Y胃旁路。接受该手术并构成本研究基础的所有12例患者均存活。与同期仅接受胃旁路手术的患者相比，围手术期和术后发病率并未增加。该手术后，随着空回肠旁路失败的患者体重减轻，血糖水平和动脉血压下降。已知空回肠旁路术后血清胆固醇和甘油三酯水平会显著降低，在被胃旁路替代后略有升高，但始终保持在正常范围内。所有接受联合手术的患者生活质量均有显著改善。我们得出结论，同时进行这两种手术比单独拆除原来不成功的手术更可取。
