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Scand J Gastroenterol. 2018 Jun - Jul;53(7):891-894. doi: 10.1080/00365521.2018.1474944. Epub 2018 May 23.

Resolution of late-onset heart and liver failures after reversion of jejuno-ileal bypass: a case report.

Author information

1
a Department of Medicine and Surgery , University Hospital of Parma , Parma , Italy.
2
b Unit of Hepatology , University Hospital of Parma , Parma , Italy.
3
c Unit of Surgery , University Hospital of Parma , Parma , Italy.
4
d Department of Molecular Medicine , University of Padova , Padova , Italy.
5
e CEI UAM CSIC, IMDEA FOOD, Ctra Canto Blanco , Madrid , Spain.
6
f Unit of Pathology , University Hospital of Parma , Parma , Italy.

Abstract

OBJECTIVES:

Jejuno-ileal bypass (JIB) was a kind of bariatric surgery performed from 1960s to 1980s, able to induce sustainable weight loss by creating a surgical short bowel syndrome.

MATERIALS AND METHODS:

We report a case of an octogenarian woman who underwent in the early eighties this kind of surgery with consequent 40 kg weight loss. After 27 years, she first developed a reversible metabolic cardiomyopathy that began with signs and symptoms of heart failure. Thereafter, she was diagnosed with severe intractable liver insufficiency.

RESULTS:

Despite her old age, the patient underwent reversal of JIB with consequent early improvement of hepatic function.

CONCLUSIONS:

This case demonstrate that in case of long-term and life-threatening complications, it is possible to successfully reverse JIB surgery after upto 30 years. The hypothesis on pathophysiology of heart and liver insufficiency are discussed.

KEYWORDS:

Jejuno-ileal bypass; dysmetabolic cardiomyopathy; liver insufficiency; nutritional deficiency; small intestine bacterial overgrowth (SIBO)

PMID:
29790800
DOI:
10.1080/00365521.2018.1474944
[Indexed for MEDLINE]

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