Jejunal-Ileal Bypass and its Complications: Case Report and Review of the Literature

Curēus
Arsalan KhanDaniel Martin

Abstract

Herein, we describe an interesting case of a patient who underwent a jejunal-ileal bypass (JIB). She presented to the hospital with gastrointestinal bleeding after which her hospital course was complicated by electrolyte abnormalities. She was a 76-year-old Caucasian female with a past medical history of hypertension, type II diabetes, atrial fibrillation on warfarin, chronic obstructive pulmonary disease (COPD) treated with 3 liters of oxygen at home, obstructive sleep apnea, and morbid obesity, with history of an unknown type of bariatric procedure done in the 1970s. Her upper endoscopy showed a normal esophagus, stomach, and duodenum despite her history of bariatric surgery. Her colonoscopy revealed stenotic terminal ileum and an incidental colonic anastomosis at 35 cm from the anal verge with spot tattoo ink of unknown significance. Also noted were moderate internal hemorrhoids and large external hemorrhoids which were likely the source of her bleeding. Post endoscopy she had marked derangement in electrolytes, specifically hypocalcemia, hypomagnesemia, and hypo-phosphatemia.  JIB was first popularized in the 1960s for the treatment of obesity. There are two variations of the procedure, colloquially known as the Scott bypas...Continue Reading

References

Jul 1, 1976·Annals of Internal Medicine
May 1, 1987·Archives of Surgery·J R Kirkpatrick
Dec 1, 1985·World Journal of Surgery·R M Baddeley
Apr 28, 1983·The New England Journal of Medicine·M P HockingE R Woodward
Jan 8, 2008·Alimentary Pharmacology & Therapeutics·R J J De RidderG H Koek
Mar 25, 2008·Seminars in Nephrology·John C LieskeMaria L Collazo-Clavell
Oct 21, 2010·The Mount Sinai Journal of Medicine, New York·Erika StrohmayerRobert Yanagisawa
Nov 6, 2010·The Journal of Clinical Endocrinology and Metabolism·David HeberUNKNOWN Endocrine Society
Jan 29, 2011·Journal of Obesity·Susan E Williams
Jun 12, 2014·Surgery for Obesity and Related Diseases : Official Journal of the American Society for Bariatric Surgery·Aniceto Baltasar
Apr 11, 2017·Surgery for Obesity and Related Diseases : Official Journal of the American Society for Bariatric Surgery·Julie ParrottLaura Greiman

❮ Previous
Next ❯

Methods Mentioned

BETA
biopsies

Related Concepts

Related Feeds

Atrial Filbrillation

Atrial fibrillation refers to the abnormal heart rhythm characterized by rapid and irregular beating of the atria. Here is the latest research.

Arrhythmia

Arrhythmias are abnormalities in heart rhythms, which can be either too fast or too slow. They can result from abnormalities of the initiation of an impulse or impulse conduction or a combination of both. Here is the latest research on arrhythmias.

CV Disorders & Type 2 Diabetes

This feed focuses on the association of cardiovascular diseases in patients with type 2 diabetes.

Atrial Fibrillation

Atrial fibrillation is a common arrhythmia that is associated with substantial morbidity and mortality, particularly due to stroke and thromboembolism. Here is the latest research.

© 2021 Meta ULC. All rights reserved