SEVERE HYPER-CHLOREMIC ACIDOSIS COMPLICATING JEJUNOILEAL BYPASS
- 1 January 1978
- journal article
- research article
- Vol. 146 (4) , 567-571
Abstract
Severe hyperchloremic acidosis developed in 2 patients as a late complication after jejunoileal bypass for morbid obesity. This acidosis was associated with episodes of dizziness, ataxia, headache, weakness, confusion and transient loss of consciousness. Recognition of this symptom complex in the patient with a jejunoileal bypass should suggest meaabolic acidosis as a complication of this surgical procedure. Bicarbonate replacement provided prompt, but temporary, improvement in the symptoms and the acidosis. Revision of the intestinal bypass was required for correction. Special studies to rule out renal tubular acidosis were performed and definitely excluded the kidney as a source of the acidosis.This publication has 3 references indexed in Scilit:
- Intestinal bypass surgery for morbid obesity. Long-term resultsJAMA, 1976
- Bypass enteropathy. Intestinal and systemic manifestations following small-bowel bypassJAMA, 1976
- Intestinal Bypass Operation as a Treatment for ObesityAnnals of Internal Medicine, 1976