[Internal complications following jejunoileostomy in the treatment of extreme obesity].

Abstract

More than 250 patients with extreme obesity were treated at the Chir. Univ.-Klinik Erlangen by 30 + 20 cm jejunoileostomy. The patients lose overweight and reach nearly normal weight after 9-12 months. Carbohydrate intolerance and hypertriglyceridema disappear. Ensuing malabsorption and also the surgical procedure are responsible for complications like wound infection or intussuception. The resulting chronic vomitting causes hypoproteinemia, hypokaliemia and liver dysfunction. Continuous therapeutical substitution is necessary, especially of potassium, to avoid deficiency. The diarrhea is treated by drug administration, i.e Reasec. The long time results are not yet sufficiently known. Calcium deficiency may occur many years later. The rate of cholelithiasis and nephrolithiasis ranges from 2 to 10%. The over-all lethality over 5 years is 2,8% as seen in the patients of our clinic during the past 6 years.

• Authors: B Husemann, B Mrozek, W Rettinger
• Journal: Fortschritte der Medizin (Fortschr Med) Vol. 95 Issue 25 Pg. 1644-52 (Jul 07 1977) ISSN: 0015-8178 [Print] Germany
• Vernacular Title: Internistische Komplikationen nach Dünndarmausschaltung zur Behandlung der extremen Adipositas.
• PMID: 885450 (Publication Type: English Abstract, Journal Article)

Chemical References

• Bile Acids and Salts
• Electrolytes
• Serum Albumin

Topics

• Arthritis, Infectious (microbiology)
• Avitaminosis (blood)
• Bile Acids and Salts (metabolism)
• Body Weight
• Electrolytes (blood)
• Fatty Liver (blood)
• Humans
• Ileum (surgery)
• Intestinal Mucosa (pathology)
• Jejunum (microbiology, surgery)
• Kidney Calculi (blood)
• Malabsorption Syndromes (blood)
• Obesity (therapy)
• Postoperative Complications (blood, pathology)
• Serum Albumin (metabolism)
• Water-Electrolyte Imbalance (blood)