Bariatric Surgery information
Interval Jejunoileal Bypass Reduces Morbidity Mortality of Roux-en-Y Bypass in Super-Obese

Review of Jejunoileal Bypass Surgical Procedure to Reduce Health Risks in Patients with Super-Obesity

Bariatric Surgery - Bariatric Research Studies

Interval Jejunoileal Bypass Reduces the Morbidity and Mortality of Roux-en-Y Gastric Bypass in the Super-Obese

Among Roux-en-Y gastric bypass (RYGB) patients, large male patients carry the greatest risk for severe, life-threatening complications. The higher complication rate is partly related to large amounts of intra-abdominal fat that increases the technical difficulty of the Roux-en-Y gastric bypass.


In order to minimize the risk for complications, we established a staged approach for weight loss surgery for high-risk, super-obese patients. Patients with intra-abdominal fat at exploration which precluded the performance of Roux-en-Y gastric bypass underwent jejunoileal bypass (JIB). Following an initial period of weight loss (6-24 months), they were converted to a Roux-en-Y gastric bypass during a second operation. Twenty-four patients underwent initial JIB that was associated with a major complication rate of 8.3 per cent (2/24) and no mortality.


Eight patients lost 53.4 +/- 6.3 kg prior to their conversion to Roux-en-Y gastric bypass (mean, 14.1 months). There was one major complication (12%) and no deaths (0%). Following RYGB, an additional period of weight loss resulted in overall excess weight loss (EWL) totaling 62 per cent.


A two-step procedure is a safe and effective approach for minimizing complications for high-risk patients undergoing Roux-en-Y gastric bypass. The initial JIB was associated with low morbidity and no mortality, and the follow-up RYGB procedure was a technically simple operation that could be performed with few complications.

Arteaga JR, Huerta S, Basa NR, Livingston EH. VA Greater LA Healthcare System, Los Angeles, California, USA.
National Library of Medicine 2003

Bariatric Surgery
Adjustable Gastric Banding UK - After Lap-Band Surgery - Band Repositioning Slippage - Long Term Effects Gastric Banding - BAROS) Laparoscopic Gastric Banding - Lap-Band Weight Loss Surgery Effects - Esophagogastric Banding - Gastric Banding Grade 3 Obesity - Gastric Banding Older Obese Patients - Laparoscopic Adjustable Gastric Banding UK - Gastroplasty Conversion - Homocysteine Levels Folate B12 - Laparoscopic Adjustable Gastric Banding Morbid Obesity - Laparoscopic Adjustable Band - Laparoscopic Gastric Banding Side Effects - Laparoscopic Banding Surgical Technique - Laparoscopic Lap-Band Outcomes - Laparoscopic Gastric Lap-Band Trial - Laparoscopic Silicone Gastric Banding Operation - Radiological Imaging After Banding - Revision of Failed Gastric Bariatric Operations - Silicone Gastric Banding Failure Rate - Visceral Subcutaneous Fat - Dietary Changes After Gastroplasty - Duodenal Switch Dyslipoproteinemia - Gastroplasty Eating Behavior - Gastrointestinal Quality of Life - Hand Assisted Laparoscope VGB - Laparoscopic Gastroplasty - Laparoscopic Stapling - Vertical Banded Gastroplasty Results - Mason-MacLean Gastroplasty - Non-Adjustable Silicone Ring - Open Versus Laparoscopic Gastroplasty - Patient Compliance Gastroplasty - Peptide YY After Gastroplasty - Personality Profiles Obese Patients - Pre-Operative Resting Weight Loss - Weight Loss After Gastroplasty - Back Pain After Gastroplasty - Bariatric Follow-up Outcomes - Binge Eating Disorder Bariatrics - Bone Mass After Gastric Bypass - Bone Metabolism Gastroplasty - Gastric Bypass Venous Stasis - Gastric Surgery Insulin Effects - Weight Loss Surgery Sleep Apnea - Weight Loss Surgery Free Radical Antioxidants - Gastroplasty Diabetes Dyslipidemia - Insulin Tolerance in Bariatric Surgery Patients - Laparoscopic Gastroplasty Study - Nutritional Complications Gastric Bypass - Obesity-Associated Disorders - Orthostatic Hypotension - Gastric Bypass Health Improvements - Predictors of Complication after Roux-en-Y Bypass - Pseudo-Achalasia Gastric Banding - Gastric Acid Secretion Reduction in Bariatric Surgery - Roux-en-Y Gastric Bypass Evaluation - Predicting Success After Roux-en-Y - Psychiatric Diagnosis Gastric Surgery - Psychopathological Status After Weight Loss - Psychosocial Factors Weight Loss After Bariatric Surgery - Quality of Life After Weight Loss Surgery - Socio-economic Characteristics Obesity Surgery - Large Volume Liposuction Effects - Weight Loss Surgery Reoperations - Laparoscopic Reoperative Surgery - Weight Loss After Gastric Surgery - Pregnancy after Gastric Banding - Pregnancy after Lap-Band Surgery - Weight Loss Co-Morbid Conditions - Weight Loss After Bariatric Surgery


What Is Weight Loss Surgery | Gastric Surgery - How to Qualify | Types Of Weight Loss Surgery | How Bariatric Surgery Works | Laparoscopy | How Effective Is Surgery | Success Rates | Health Benefits | Complications | Weight Loss Surgery Costs | Find Weight Loss Surgeon | Support Groups | Malabsorption | Gastric Bypass | Biliopancreatic Diversion Bypass | Biliopancreatic Details | Biliopancreatic Benefits/ Biliopancreatic Risks | Duodenal Switch Bypass | Duodenal Switch Details | Duodenal Switch Benefits/ Duodenal Switch Risks | Roux-en-Y Bypass Laparoscopic | Roux-en-Y Bypass Open Surgery | Roux-en-Y Gastric Bypass Benefits/ Gastric Bypass Risks | Roux-en-Y Details | Fobi Pouch Gastric Bypass | Fobi Pouch Benefits/ Fobi Pouch Risks | Dumping Syndrome | How Dumping Occurs | Bypass Health Dangers | Diet After Gastric Bypass | Restrictive Procedures | Gastric Banding | Adjustable Gastric Banding | Lap Band Procedure | Lap Band Details | Lap Band Risks & Benefits | Silastic Gastric Ring Surgery | Gastroplasty | Vertical Banded Gastroplasty | Gastric Surgery | Gastric Stapling | Stomach Stapling | Benefits of Gastric Stapling | Obesity Condition | Obesity Mortality Rate | Obesity Health Risks | Obesity Surgical Treatment | Surgery For Morbid Obesity | Weight-Related Health Risks | Obesity Surgery Research | Bariatric Studies | Gastric Reduction Articles | Weight Loss Surgery Statistics | Stomach Bypass | Stomach Banding | Stomach Gastroplasty | Laparoscopy | Weight Loss Surgery Health Complications | Nutrition after Bypass | Weight Loss Surgery Psychosocial Factors | Gastric Reduction Surgery | Weight Loss Surgery Clinics | Plastic Surgery | Plastic Surgery After Weight Loss | Tummy Tuck/Abdominoplasty | Dermolipectomy | Body Lift | Gynecomastia Enlarged Male Breast | Panniculectomy | Thigh Lift | Cost of Plastic Surgery | Plastic Surgery Information | Cosmetic Surgery | Lipoplasty | Liposuction Types | Health Risks of Liposuction | Tumescent Method | Liposuction Butt | Liposuction Inner Thighs | Liposuction Front Thighs | Cost of Liposuction | Information About Lipoplasty

Laparoscopic or open bariatric surgery, such as gastric banding or bypass is not an easy solution to morbid obesity and weight loss. It is a serious surgical procedure, involving health risks. To produce lasting weight loss it requires a long-term patient commitment to eating a healthy diet and following a regular program of physical exercise. Life-long use of nutritional supplements may also be necessary. So, before deciding, discuss your options fully with your doctor. © 2003-2018 Bariatric-Surgery.Info - Terms - Contact - Information - Resources