This Article  • References  • Full text PDF  • Send to a friend  • Save in My Folder  • Save to citation manager  • Permissions  Citing Articles  • Citing articles on HighWire  • Citing articles on Web of Science (42)  • Contact me when this article is cited  Related Content  • Similar articles in this journal  Social Bookmarking   What's this?

Henry R. Shibata, MD; James R. Mackenzie, MD; Shao-nan Huang, MD

AMA Arch Surg. 1971;103(2):229-237.

Abstract
Ten patients were studied one to seven years following small intestinal bypass for obesity. Liver function tests, normal preoperatively and abnormal early postoperatively, returned to normal 6 to 12 months later. Total serum cholesterol levels decreased by 40% to 50%. Serum protein values stayed within normal limits if the patient was on a high protein diet. Liver biopsies for fatty change preoperatively showed variations from 1% to 75% infiltration. Late postoperative observations in nine patients showed an increase in fatty infiltration in six. In two there was a decrease and in one there was no change. Of these nine patients, in two who developed 80% to 90% infiltration postoperatively, restoration of continuity abolished this histologic evidence of fatty metamorphosis. No evidence of cirrhosis was observed in any patient.

Author Affiliations
Montreal

From the departments of surgery and pathology, Royal Victoria Hospital and McGill University, Montreal. Dr. Mackenzie is now with the Department of Surgery, McMaster University, Hamilton, Ontario.

Footnotes
Accepted for publication March 22, 1971.

Read before the 28th annual meeting of the Central Surgical Association, Minneapolis, March 5, 1971.

Reprint requests to Department of Surgery, Royal Victoria Hospital, 687 Pine Ave W, Montreal 112 (Dr. Shibata).

CiteULike    Connotea    Del.icio.us    Digg    Reddit    Technorati    Twitter     What's this?

THIS ARTICLE HAS BEEN CITED BY OTHER ARTICLES

Liver Failure After Jejunoileal Shunt
Andrassy et al.
Arch Surg 1975;110:332-334.
ABSTRACT