Van Baden M
Acta Chir Belg. 1976 May;75(3):269-93.
Obese people, more than 45 kg above their ideal weight, can be treated by an intestinal by-pass. This operation must be reserved for patients where conservative treatment failed, where there is no organic origin, and given the operative risk be not increased by underlying serious disease. Good pre- and postoperative collaboration of the patient together with clinical and biological controls are essential. The operation consists of an end-to-side jejuno-ileostomy with proximal suture of the blind loops; or an end-to-end jejuno-ileostomy with implantation of the blind loops in the colon. Loss of weight to near ideal plus improvement of diabetes, hypertension, gout and hyperlipaemia can be expected. Diarhea will occur for a few months or one year. Biochemical values usually remain stable: values for lipids decrease to lower normal if elevated before the operation. During fast weight loss, there are changes in the liver structure and hepatic tests; these are transient and reversible.
体重超过理想体重45公斤以上的肥胖者可通过肠道分流术进行治疗。该手术必须仅用于保守治疗失败、无器质性病因且潜在严重疾病不会增加手术风险的患者。患者术前和术后的良好配合以及临床和生物学检查至关重要。手术包括端侧空肠回肠吻合术并近端缝合盲袢；或端端空肠回肠吻合术并将盲袢植入结肠。有望体重减轻至接近理想体重，同时糖尿病、高血压、痛风和高脂血症也会有所改善。腹泻会持续几个月或一年。生化指标通常保持稳定：术前升高的血脂指标会降至正常下限。在快速减重期间，肝脏结构和肝功能检查会有变化；这些都是暂时的且可逆的。
