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空肠回肠吻合术治疗严重难治性肥胖的结果

Results of jejuno-ileostomy for gross refractory obesity.

作者信息

Baddeley R M

出版信息

Br J Surg. 1976 Oct;63(10):801-6. doi: 10.1002/bjs.1800631018.

DOI:10.1002/bjs.1800631018
PMID:990701
Abstract

The results of jejuno-ileostomy in 182 patients have been studied. The operative mortality was 1-1% and the overall mortality 6-6%, of which 3-3% was attributable to the effects of the small bowel bypass. Weight reduction usually ceased at about 18-24 months postoperatively, by which time the average fall was 36-3% of the mean original body weight. Males and younger patients achieved better than average results. The main side-effects were fatty infiltration of the liver, polyarthralgia, excessive diarrhoea and electrolyte upsets.

摘要

对182例空肠回肠吻合术患者的结果进行了研究。手术死亡率为1.1%,总死亡率为6.6%,其中3.3%归因于小肠旁路手术的影响。体重减轻通常在术后约18至24个月停止,此时平均下降幅度为平均原始体重的36.3%。男性和年轻患者的效果优于平均水平。主要副作用是肝脏脂肪浸润、多关节痛、腹泻过度和电解质紊乱。

相似文献

1
Results of jejuno-ileostomy for gross refractory obesity.空肠回肠吻合术治疗严重难治性肥胖的结果
Br J Surg. 1976 Oct;63(10):801-6. doi: 10.1002/bjs.1800631018.
2
Proceedings: early results of jejuno-ileostomy for massive obesity.论文集:空肠回肠造口术治疗重度肥胖症的早期结果
Br J Surg. 1973 Nov;60(11):903.
3
A prospective comparison of gastric and jejunoileal bypass procedures for morbid obesity. 1977.1977年,胃旁路手术与空肠回肠旁路手术治疗病态肥胖的前瞻性比较。
Surg Obes Relat Dis. 2005 Mar-Apr;1(2):163-72; discussion 173-4. doi: 10.1016/j.soard.2005.02.015.
4
The rate of weight loss after intestinal bypass operations for obesity. An analysis of factors of significance.
Acta Chir Scand. 1975;141(5):424-30.
5
Jejuno-ileostomy in the treatment of obesity.空肠回肠造口术治疗肥胖症。
Acta Chir Scand. 1973;139(6):551-6.
6
Medical complications of intestinal bypass surgery.肠道分流手术的医学并发症。
Adv Intern Med. 1978;23:47-59.
7
The management of gross refractory obesity by jejuno-ileal bypass.空回肠旁路术治疗重度难治性肥胖症
Br J Surg. 1979 Aug;66(8):525-32. doi: 10.1002/bjs.1800660802.
8
Surgical treatment of obesity.肥胖症的外科治疗
Proc R Soc Med. 1973 Nov;66(11):1098-9. doi: 10.1177/003591577306601118.
9
Small bowel bypass for obesity. A discussion of four different procedures.用于治疗肥胖症的小肠旁路手术。四种不同手术方法的探讨。
J Med Assoc Ga. 1972 Sep;61(9):322-8.
10
Long-term follow-up of jejunoileal bypass patients.空肠回肠分流术患者的长期随访
Am J Clin Nutr. 1980 Feb;33(2 Suppl):472-5. doi: 10.1093/ajcn/33.2.472.

引用本文的文献

1
BSP clearance as the most reliable criterion of hepatic dysfunction after jejunoileal bypass in the rat: arguments in favor of the existence of a pathogenetic mechanism involving a transient malnutrition state.在大鼠空肠回肠旁路术后,以BSP清除率作为肝功能障碍最可靠的标准:支持存在涉及短暂营养不良状态的发病机制的论据。
Dig Dis Sci. 1981 Apr;26(4):334-41. doi: 10.1007/BF01308375.
2
Bypass surgery for obesity.肥胖症的搭桥手术。
Br Med J. 1976 Nov 27;2(6047):1278.