Griffen W O, Hostetter J M, Bell R M, Bivins B A, Bannon C
Arch Surg. 1981 Mar;116(3):320-4. doi: 10.1001/archsurg.1981.01380150048013.
Jejunoileal bypass for morbid obesity has been associated with a variety of long-term adverse sequelae, including excess diarrhea, electrolyte imbalance, kidney dysfunction, liver abnormalities, and polyarthropathy. Takedown of the bypass without providing a means of maintenance of weight reduction will lead to recurrence of morbid obesity. We studied 32 patients who underwent conversion of jejunoileal bypass to gastric bypass either in one procedure (27 patients) or more than one procedure (five patients). There were no operative deaths, but significant morbidity. Nevertheless, the conversion has maintained weight reduction and reversed the adverse effects of the small-bowel bypass. We concluded that conversion of the jejunoileal bypass to the gastric bypass, particularly with a Roux-en-Y anastomosis, in a single procedure is relatively safe, simple, and effective.
空肠回肠分流术治疗病态肥胖症与多种长期不良后遗症相关，包括腹泻过多、电解质失衡、肾功能不全、肝脏异常和多关节病。拆除分流术但不提供维持体重减轻的方法会导致病态肥胖症复发。我们研究了32例接受空肠回肠分流术转为胃旁路手术的患者，其中27例为单次手术，5例为多次手术。无手术死亡，但有明显的并发症。然而，这种转变维持了体重减轻，并逆转了小肠分流术的不良影响。我们得出结论，在单次手术中将空肠回肠分流术转为胃旁路手术，特别是采用Roux-en-Y吻合术，相对安全、简单且有效。
