Summary
The jejunoileal bypass for the treatment of extreme obesity is being increasingly critiziced because of its severe metabolic complications. With the gastric bypass, developed by Mason in 1967, there now exists an operative alternative that is equivalent concerning weight reduction, but does not create such non-physiologic conditions of absorption, and therefore is not burdened with the severe metabolic disturbances of the jejunoileal bypass. Therefore the jejunoileal bypass should not be used any longer for the treatment of obesity.
Zusammenfassung
Der jejunoileale Bypass zur Behandlung der therapierefraktären, extremen Adipositas ist wegen seiner schweren metabolischen Komplikationen zunehmend unter Kritik geraten. Mit dem 1967 von Mason entwickelten Gastric (gastrojejunalen) Bypass steht eine operative Alternative zur Verfügung, die hinsichtlich der Gewichtsreduktion gleichwertig ist, jedoch nicht derart unphysiologische Resorptionsverhältnisse schafft und deshalb nicht mit den schweren metabolischen Störungen belastet ist. Der jejunoileale Bypass muß deshalb heute als nicht mehr gerechtfertigte Therapieform angesehen werden.
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Vortrag gehalten auf der 96. Tagung der Deutschen Gesellschaft für Chirurgie
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Kieninger, G., Müller, G., Breucha, G. et al. Hat der jejunoileale Bypass noch eine Daseinsberechtigung?. Langenbecks Arch Chiv 350, 139–144 (1979). https://doi.org/10.1007/BF01234296
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DOI: https://doi.org/10.1007/BF01234296