REVISION OF INTESTINAL-BYPASS PROCEDURES

  • 1 January 1976
    • journal article
    • research article
    • Vol. 142  (6) , 829-839
Abstract
The results of jejunoileal bypass have been satisfactory in 80% of the patients. In the remaining 20% one or more problems eventually may require revision of the bypass. These problems fall into 4 categories: inadequate weight loss, excessive weight loss, persistent uncontrollable diarrhea or associated severe anorectal problems, or both, and severe unmanageable electrolyte and metabolic imbalance with or without liver failure. In this series 108 patients were observed for 1-5 yr, and 10 patients required revision, 1 revision for every 12 bypass operations performed. The preoperative evaluation and management and the options available to the surgeon in correcting the abnormalities are evaluated. The results of 10 patients who underwent revision of the bypass and the rationale for the revision are outlined. Criteria for an ideal operation have not as yet been attained.

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