This Article  • References  • Full text PDF  • Send to a friend  • Save in My Folder  • Save to citation manager  • Permissions  Citing Articles  • Citation map  • Citing articles on HighWire  • Citing articles on Web of Science (77)  • 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; Richard C. Long, MD

AMA Arch Surg. 1967;95(3):413-428.

	Since this article does not have an abstract, we have provided the first 150 words of the full text PDF and any section headings.

THE metabolic effects of malabsorption due to loss of extensive lengths of small bowel in humans has been studied haphazardly. The small bowel was usually removed as an emergency measure, and metabolic comparisons to the preoperative state could not be made. Experimentally, Kremin et al¹ in 1954, showed in dogs that resections of controlled lengths of small bowel resulted in impaired fat absorption and loss of weight.

Payne et al² and Lewis et al³ produced weight loss in obese patients by means of controlled jejunocolic bypass. This procedure made it possible for them to study the metabolic changes that may result from exclusions of large segments of small bowel from the digestive tract.

Since March 1963, 11 obese patients have undergone controlled jejunocolic bypass at the Royal Victoria Hospital, Montreal. Our observations on the metabolic effects of this operation are presented.

Material and Methods

Selection of Patients. . . . [Full Text PDF of this Article]

Author Affiliations
Montreal

From the Department of Surgery, Royal Victoria Hospital, Montreal. Doctor MacKenzie is presently at the Department of Surgery, University of Vermont, Burlington.

Footnotes
Submitted for publication March 15, 1967.

Read before the 24th annual meeting of the Central Surgical Association, Pittsburgh, Feb 23, 1967.

Reprint requests to Department of Surgery, Royal Victoria Hospital, Montreal 2, Quebec, Canada (Dr. Shibata).

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