Lavorato F, Doldi S B, Scaramella R, Lucani G, Bannò S
Minerva Med. 1978 Nov 17;69(56):3847-57.
Reference is made to the experimental preliminary remark and the first, clinical observations underlying the surgical management of severe obesity, together with the techniques employed, starting with the jejunal-colic by-pass of Payne et al. This, however, led to serious liver damage and electrolyte imbalance, whereupon Payne et al. proposed end-to-side and Scott end-to-end jejunal-ileal by-pass. The end-to-end variety has been used with excellent results in 33 cases. Mason's gastric and gastroplastic techniques is till now unfrequently used. An account is also given of experimental ileo-cholecystostomy and biliopancreatic by-pass. In agreement with most other workers, a preference is expressed for the end-to-end jejunal-ileal by-pass as the most suitable technique available at present.
参考实验性初步评论以及严重肥胖症外科治疗的首次临床观察结果，以及所采用的技术，这些技术从佩恩等人的空肠-结肠旁路手术开始。然而，这导致了严重的肝损伤和电解质失衡，于是佩恩等人提出了端侧和斯科特端端空肠-回肠旁路手术。端端式在33例患者中使用取得了极佳效果。梅森的胃和胃成形技术目前很少使用。文中还介绍了实验性回肠-胆囊造口术和胆胰分流术。与大多数其他研究人员一致，文中表示倾向于将端端空肠-回肠旁路手术作为目前最适用的技术。
