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Resolution of late-onset heart and liver failures after reversion of jejuno-ileal bypass: a case report.
- Source :
-
Scandinavian journal of gastroenterology [Scand J Gastroenterol] 2018 Jun - Jul; Vol. 53 (7), pp. 891-894. Date of Electronic Publication: 2018 May 23. - Publication Year :
- 2018
-
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.<br />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.<br />Results: Despite her old age, the patient underwent reversal of JIB with consequent early improvement of hepatic function.<br />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.
Details
- Language :
- English
- ISSN :
- 1502-7708
- Volume :
- 53
- Issue :
- 7
- Database :
- MEDLINE
- Journal :
- Scandinavian journal of gastroenterology
- Publication Type :
- Academic Journal
- Accession number :
- 29790800
- Full Text :
- https://doi.org/10.1080/00365521.2018.1474944