Published in:
01-06-2021 | Nutrition | Letter to the Editor
A Protocol for Rehabilitating the Bypassed Limb Prior to Reversal of Jejunoileal Bypass
Authors:
Sara Santini, Michel Suter, Maude Martinho-Grueber, Carole Monney Chaubert, Mohammed Barigou, Lucie Favre, Peter Kopp, Anne Kouadio
Published in:
Obesity Surgery
|
Issue 6/2021
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Excerpt
Jejunoileal bypass (JIB), the very first bariatric procedure, creates a short-bowel syndrome with approximately 35 cm of jejunum and 15 cm of ileum and a very long excluded small bowel blind loop. It was abandoned because of deleterious or lethal side effects [
1,
2]. Indications prompting JIB reversal include diarrhea, electrolyte abnormalities, malnutrition, organ failure, arthritis, and poor quality of life [
1‐
3]. JIB reversal is usually performed using a two-stage open approach [
3]: first, a jejunostomy feeding tube is placed in the excluded limb, and then, after 3–12 months, intestinal continuity is re-established. …