Garrison R N, Waterman N G, Sanders G B, Abrams B
Am J Surg. 1977 Jun;133(6):675-80. doi: 10.1016/0002-9610(77)90152-0.
The records of seventy-nine patients who had jejunoileal bypass operations for morbid obesity were reviewed. The data represent the entire experience of surgeons in the Louisville, Kentucky metropolitan area for the period studied. Retrospective evaluations of criteria for selecting patients for bypass operation, type of shunt done, and clinical results were recorded. Sixty-eight patients (86 per cent) weighed more than 100 pounds over ideal weight. Operative mortality was 5 per cent. Only 31 patients (47 per cent) were judged as having satisfactory results. Two patients died of hepatic failure and five required restoration of intestinal continuity. Comparison of this community experience with published data supports the concept that these operations are best confined to those institutions where there is special interest in the full range of medical and surgical care of obese patients.
对79例因病态肥胖接受空肠回肠分流术的患者记录进行了回顾。这些数据代表了肯塔基州路易斯维尔市都会区外科医生在研究期间的全部经验。记录了对选择分流手术患者的标准、所做分流类型及临床结果的回顾性评估。68例患者（86%）体重超过理想体重100磅以上。手术死亡率为5%。只有31例患者（47%）被判定结果满意。2例患者死于肝功能衰竭，5例需要恢复肠道连续性。将该社区经验与已发表数据进行比较，支持了这样一种观念，即这些手术最好仅限于那些对肥胖患者全方位医疗和外科护理有特殊兴趣的机构。
