Abstract | BACKGROUND AND AIMS: METHODS: Consecutive patients referring for bariatric surgery were included. A modified jejunoileal bypass in which the defunctionalized limb is eliminated by anastomosing its ends to the gall bladder and cecum was performed. Liver biopsies were taken during operation and at a mean of 16 months later. The patients were followed for 5 years. RESULTS: Forty-three patients were enrolled. The mean value of weight and body mass index (BMI) fell from 128 kg and 46 kg/m(2) before operation to 85 kg and 31 kg/m(2) at 5 years, respectively (p < 0.001). There was no significant change in the degree of liver steatosis and necroinflammation. The mean liver fibrosis score increased from 0.1 to 0.9 (p = 0.015). No sign of advanced liver disease was observed during the 5-year follow-up. CONCLUSION:
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Authors | Iraj Fazel, Akram Pourshams, Shahin Merat, Roya Hemayati, Masoud Sotoudeh, Reza Malekzadeh |
Journal | Journal of gastrointestinal surgery : official journal of the Society for Surgery of the Alimentary Tract
(J Gastrointest Surg)
Vol. 11
Issue 8
Pg. 1033-8
(Aug 2007)
ISSN: 1091-255X [Print] United States |
PMID | 17514410
(Publication Type: Journal Article)
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Topics |
- Adolescent
- Adult
- Aged
- Biliopancreatic Diversion
- Child
- Female
- Follow-Up Studies
- Humans
- Jejunoileal Bypass
(methods)
- Liver
(pathology)
- Male
- Middle Aged
- Obesity, Morbid
(surgery)
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