Obesity Surgery

, Volume 17, Issue 3, pp 423–425 | Cite as

Vertical Gastric Resection (Sleeve Gastrectomy) in a Morbidly Obese Patient with Past Jejunoileal Bypass

  • Marek LutrzykowskiEmail author
Case Report

Jejunoileal bypass (JIB) is a purely malabsorptiveoperation, which has been abandoned in the USA andWestern Europe due to occasional serious complications.We are still seeing past JIB patients who havebecome obese again over the years, but are not sufferingside-effects of the previous JIB, and are complainingof typical co-morbidities of the obesity. Wepresent a prior JIB patient who underwent a sleevegastrectomy in 2003 for recurrence of morbid obesity.The patient has been followed for another 4 years withregular laboratory tests, monitoring of weight loss,bone densitometry and possible complications.Selected morbidly obese patients who have undergonepast JIB, can be safely treated by a restrictiveprocedure, sleeve gastrectomy, to accomplish successfulweight loss without increasing the risk of possibleserious complications.

Key words

Morbid obesity obesity surgery jejunoileal intestinal bypass sleeve gastrectomy weight loss co-morbidity 


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  1. 1.
    Deitel M, Shahi B, Anand PK et al. Long-term outcome in a series of jejunoileal-bypass patients. Obes Surg 1993; 3: 247–52.PubMedCrossRefGoogle Scholar
  2. 2.
    Sylvan A, Sjölund B, Januger KG. Favorable longterm results with the end-to-side jejunoileal bypass. Obes Surg 1995; 5: 357–63.PubMedCrossRefGoogle Scholar
  3. 3.
    Våge V, Solhaug JH, Berstad A et al. Jejunoileal bypass in the treatment of morbid obesity: a 25-year follow-up study of 36 patients. Obes Surg 2002; 12: 312–8.PubMedCrossRefGoogle Scholar
  4. 4.
    Våge V, Solhaug JH, Viste A et al. Anxiety, depression and health-related quality of life after jejunoileal bypass: a 25-year follow up study of 20 female patients. Obes Surg 2003; 13: 706–13.PubMedCrossRefGoogle Scholar
  5. 5.
    Souto KEP, Meinhardt N, Stein AT. Evaluation of quality of life and metabolic improvement after jejunoileal bypass in a community of low socioeconomic status. Obes Surg 2004; 14: 823–8.PubMedCrossRefGoogle Scholar
  6. 6.
    Meinhardt NG, Pires Soto KE, Ulbrich-Kulczynski JM et al. Hepatic outcomes after jejunoileal bypass: is there a publication bias? Obes Surg 2006; 16: 1171–8.PubMedCrossRefGoogle Scholar
  7. 7.
    Ancher SH, Frandsen N, Hyldstrup L. Late calcium metabolic consequences of jejuno-ileal bypass. Obes Surg 1992; 2: 219–23.CrossRefGoogle Scholar
  8. 8.
    Venturi M, Zuccato E, Restelli A et al. Utility of hydrogen and methane breath tests in combination with x-ray examination after a barium meal in diagnosis of small bowel bacterial overgrowth after jejuno-ileal bypass for morbid obesity. Obes Surg 1994; 4: 144–8.PubMedCrossRefGoogle Scholar
  9. 9.
    Lowell JA, Shenoy S, Ghalib R et al. Liver transplantation after jejunoileal bypass for morbid obesity. J Am Coll Surg 1997; 185: 132–6.Google Scholar
  10. 10.
    Mole DR, Tomson CRV, Mortensen N. Renal complications of jejunoileal bypass for obesity. QJM 2001; 94: 69–77.PubMedCrossRefGoogle Scholar
  11. 11.
    Cannova JV, Krummen DM, Schreiber H et al. An approach to the recurring polyarthralgia after jejunoileal bypass. Obes Surg 1997; 7: 215–7.PubMedCrossRefGoogle Scholar
  12. 12.
    Coradini SG, Eramo A, Lubrano C et al. Comparison of changes in lipid profile after bilio-intestinal bypass and gastric banding in patients with morbid obesity. Obes Surg 2005; 15: 367–77.CrossRefGoogle Scholar
  13. 13.
    Cleator IGM, Birmingham CL, Kovacevic S et al. Long-term effect of ileogastrostomy surgery for morbid obesity on diabetes mellitus and sleep apnea. Obes Surg 2006; 16: 1337–41.PubMedCrossRefGoogle Scholar
  14. 14.
    Baltasar A, Serra C, Pérez N et al. Laparoscopic sleeve gastrectomy: An operation with multiple indications. Obes Surg 2005; 15: 1124–8.PubMedCrossRefGoogle Scholar

Copyright information

© Springer Science + Business Media B.V. 2007

Authors and Affiliations

  1. 1.Department of SurgeryCrittenton HospitalRochesterUSA
  2. 2.Bloomfield HillsUSA

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