Buchwald H, Rucker R D, Schwartz M Z, Varco R L
Int J Obes. 1981;5(4):399-404.
The positive results of jejunoileal bypass are briefly reviewed: significant weight reduction, lowering of blood pressure, mitigation of diabetes, improved physical functions, amelioration of osteoarthritis and thrombophlebitis, and improved self-esteem and socialization. A major benefit of jejunoileal bypass is the marked and permanent plasma cholesterol and triglyceride reductions. At one year plasma cholesterol is reduced 42 percent, with plasma triglyceride lowered 35 percent. In a comparable series of gastric bypass patients one year after operation, the plasma triglyceride lowering was identical at 35 percent; however, the plasma cholesterol reduction was only 14 percent. Although we currently perform mostly gastric bypasses as the primary metabolic operation for morbid obesity, we believe the jejunoileal bypass should not be discarded from the armamentarium of the surgeon committed to the treatment of this malignant disease.
显著减重、血压降低、糖尿病缓解、身体功能改善、骨关节炎和血栓性静脉炎减轻，以及自尊和社交能力提升。空肠回肠分流术的一个主要益处是血浆胆固醇和甘油三酯显著且持久降低。术后一年，血浆胆固醇降低42%，血浆甘油三酯降低35%。在一组类似的胃分流术患者术后一年，血浆甘油三酯降低程度相同，为35%；然而，血浆胆固醇降低仅14%。尽管我们目前大多将胃分流术作为治疗病态肥胖的主要代谢手术，但我们认为，对于致力于治疗这种恶性疾病的外科医生而言，空肠回肠分流术不应被排除在可用手段之外。
