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©2009 The WJG Press and Baishideng. All rights reserved.
World J Gastroenterol. May 14, 2009; 15(18): 2277-2279
Published online May 14, 2009. doi: 10.3748/wjg.15.2277
Published online May 14, 2009. doi: 10.3748/wjg.15.2277
Jejunoileal bypass: A surgery of the past and a review of its complications
Dushyant Singh, Alexandra S Laya, Wendell K Clarkston, Mark J Allen, Department of Gastroenterology and Hepatology, University of Missouri Kansas City, Kansas City MO 64111, United States
Author contributions: Singh D conceived the idea; Singh D wrote the paper; Laya AS developed the tables and edited the figures; Allen MJ and Clarkston WK analyzed the paper and revised it critically for important intellectual content; Clarkston WK provided the funding.
Correspondence to: Dushyant Singh, MD, Department of Gastroenterology and Hepatology, 5525 Brownridge Dr, Shawnee, KS 66218, United States. singhd@umkc.edu
Telephone: +1-913-9483935
Fax: +1-816-9325179
Received: October 30, 2008
Revised: February 23, 2009
Accepted: March 2, 2009
Published online: May 14, 2009
Revised: February 23, 2009
Accepted: March 2, 2009
Published online: May 14, 2009
Abstract
Jejunoileal bypass (JIB), popular in the 1960s and 1970s, had remarkable success in achieving weight loss by creating a surgical short bowel syndrome. Our patient had an unusual case of liver disease and provided no history of prior bariatric surgery. Later, it was recognized that he had a JIB in the 1970s, which was also responsible for the gamut of his illnesses. Patients with JIB are often not recognized, as they died of complications, or underwent reversal of their surgery or a liver-kidney transplant. Early identification with prompt reversal, and the recognition and treatment of the life-threatening consequences play a critical role in the management of such patients.
Keywords: Jejunoileal bypass; Bariatric surgery; Weight loss; Obesity; Morbid obesity