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A Legacy of Late Complications

John R. Kirkpatrick, MD

Arch Surg. 1987;122(5):610-614.

Abstract
• Since 1977, we have managed 56 patients (36 Payne and 20 Scott bypasses) with late (one to 18 years) complications resulting from a jejunoileal bypass. All patients underwent a one-stage conversion of the jejunoileal bypass to a gastric bypass. Patients were classified according to (1) postbypass weight, (2) the need for nutritional support, (3) the type and severity of complication, and (4) the time interval between jejunoileal bypass and the onset of the complication and correction of the complication. There were no operative deaths; one patient died 18 months after surgery of cirrhosis. The complication rate was 34%; however, most complications were minor. Our experience with this procedure has shown it to be highly effective in correcting complications other than polyarthritis. When coupled with nutritional support, it is safe even in malnourished patients.

(Arch Surg 1987;122:610-614)

Author Affiliations
From the Department of Surgery, The West Pennsylvania Hospital, Pittsburgh.

Footnotes
Accepted for publication Jan 20, 1987.

Read before the 94th Annual Meeting of the Western Surgical Association, Dearborn, Mich, Nov 19, 1986.

Reprint requests to Department of Surgery, The Western Pennsylvania Hospital, 4800 Friendship Ave, Pittsburgh, PA 15224 (Dr Kirkpatrick).

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