Long-term follow-up of jejunoileal bypass patients

J. D. Halverson, R. J. Scheff, K. Gentry, D. H. Alpers

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A follow up of 101 patients for a period of 50 months postoperatively after jejunoileal bypass was carried out. All but 3 had end-to-end anastomosis with bypass of about 90% of small bowel. There were no operation deaths, but 5 patients died late postoperatively; 2 after reanastomosis. 23 patients (25%) required reanastomosis; hepatic dysfunction 5%, electrolyte depletion 5% and malnutrition 6% were the main complications demanding reanastomosis. Of the 70 patients living with the bypass, 7% complained of exhaustion and 26% of extreme fatigue associated with electrolyte deficit, diarrhea or both. Of the total, 21% had no problems, 34% minor problems, 39% major problems (urolithiasis, cholelithiasis, uncontrollable vitamin deficiencies) and 6% severe problems requiring hospitalization. About one third of the patients have not reached acceptable weight levels 4 years after the bypass. Given the mortality rate and high rate of reanastomosis, together with a large proportion suffering from significant problems the use of jejunoileal bypass appears to be unjustified, particularly in view of the frequent inadequate weight loss.

Original languageEnglish
Pages (from-to)472-475
Number of pages4
JournalAmerican Journal of Clinical Nutrition
Issue number2 Suppl.
StatePublished - Dec 1 1980

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    Halverson, J. D., Scheff, R. J., Gentry, K., & Alpers, D. H. (1980). Long-term follow-up of jejunoileal bypass patients. American Journal of Clinical Nutrition, 33(2 Suppl.), 472-475.