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Abstract
Danö, P., Jarnum, S. & Vagn Nielsen, O. 1973. Intestinal Shunt-Operation in Obesity. A Comparison of Three Types of Operation. Scand. J. Gastroent. 8, 457-464.
Jejunoileal anastomosis as treatment of obesity in 36 patients has proved effective, and the side-effects in most cases were so few that the operation is recommended in selected cases of severe obesity. The degree of liver affection was not alarming, and in two cases only did severe disturbances of plasma electrolytes occur. Three types of operation were compared: end-to-side anastomosis between jejunum 36 cm from the ligament of Treitz and ileum 12 cm from caecum (type I), between 24 cm of jejunum and 24 cm of ileum (type II), and 12 cm jejunum and 36 cm ileum (type III). The loss of weight and most of the side-effects were of the same magnitude in the three groups. The absorption of vitamin B12 proved much better in type III with a long ileal segment than in type I with short ileal segment. One patient died 11 months after the operation. Autopsy showed pulmonary embolies and cerebral thrombosis.