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BILIO-PANCREATIC BYPASS FOR OBESITY .2. INITIAL EXPERIENCE IN MAN
被引:316
作者:
SCOPINARO, N
[1
]
GIANETTA, E
[1
]
CIVALLERI, D
[1
]
BONALUMI, U
[1
]
BACHI, V
[1
]
机构:
[1] UNIV GENOA,SCH MED,DEPT SURG,I-16132 GENOA,ITALY
关键词:
D O I:
10.1002/bjs.1800660906
中图分类号:
R61 [外科手术学];
学科分类号:
摘要:
After a successful trial of bilio‐pancreatic bypass in dogs, a clinical study has been completed in 18 patients followed for more than 1 year. The operation has been modified to achieve the best weight reduction, and forming the bilio‐pancreatic tract of equal length to the alimentary tract with a short common ileal tract, the average weight loss as a percentage of the preoperative body weight was 24·1 ± 5·4 per cent (mean ± s.d.) at 6 months and 33·7 ± 4·1 per cent at 12 months. The only immediate complication was a wound dehiscence, and there were no late complications. Liver function studies showed the absence of hepatic deterioration and liver biopsies showed improvement of liver morphology 1 year after the operation. It is suggested that this procedure may be an alternative to jejuno‐ileal bypass in the management of obesity. Copyright © 1979 British Journal of Surgery Society Ltd.
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页码:618 / 620
页数:3
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