Buckwalter J A, Herbst C A
Am Surg. 1984 Mar;50(3):159-60.
Forty-eight patients treated by jejunoileal bypass (JIB) between 1972 and 1979 provide the clinical material for this report. Of the 20 patients who had JIB performed at North Carolina Memorial Hospital, it has been reversed in 15. All the other patients were referred for reversal of the JIB. The indications for reversal, operative techniques, and complications are discussed. Jejunoileal bypass is no longer acceptable treatment for morbid obesity. Because of the ever-present possibility of serious sequellae all patients with intact JIB should be followed by an informed physician.
1972年至1979年间接受空肠回肠分流术（JIB）治疗的48例患者为本报告提供了临床资料。在北卡罗来纳州纪念医院接受JIB手术的20例患者中，有15例已进行了手术逆转。所有其他患者均因JIB逆转而前来就诊。本文讨论了逆转的适应症、手术技术及并发症。空肠回肠分流术已不再是治疗病态肥胖的可接受疗法。由于严重后遗症的可能性始终存在，所有JIB未逆转的患者均应由知识渊博的医生进行随访。
