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Surgery for Morbid Obesity pp 23–48Cite as

Malabsorption Techniques

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Abstract

In our first jejunoileal bypass (JIB) of 1954 (described in the preface) we were uncertain what the optimal lengths of the functioning bowel should be. We erred on the conservative side, making them longer than lengths which subsequently proved to be effective. Ninety cm of jejunum were anastomosed to 45 cm of ileum, and the distal end of the bypassed small intestine was anastomosed to the transverse colon.1,2 In 1971, the patient’s JIB was revised by shortening the functioning jejunum to 40 cm, and the ileum to 15 cm. Her weight then decreased from 240 lb to 171 lb, and leveled off in a few years at 190 lb. Although she was happy about her weight loss and increased mobility, she required intermittent supplementation with magnesium, calcium, and potassium. In addition, during the last year of her life she developed angina pectoris and electrocardiographic evidence of coronary insufficiency despite a low serum cholesterol (60 to 120 mg%) and a normal serum triglyceride. She died in 1981 of a myocardial infarction at the age of 61 years.

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  1. John H. Linner
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© 1984 Springer-Verlag New York Inc.

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Linner, J.H. (1984). Malabsorption Techniques. In: Surgery for Morbid Obesity. Springer, New York, NY. https://doi.org/10.1007/978-1-4613-8245-4_3

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  • DOI: https://doi.org/10.1007/978-1-4613-8245-4_3

  • Publisher Name: Springer, New York, NY

  • Print ISBN: 978-1-4613-8247-8

  • Online ISBN: 978-1-4613-8245-4

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