Jejunoileal bypass: A surgery of the past and a review of its complications

Singh, Diksha; Laya, Alexandra; Clarkston, Wendell K.; Allen, Mark

doi:10.3748/wjg.15.2277

Cited by 55 publications

(41 citation statements)

References 6 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Although the data on the risk of kidney stones following mixed restrictive and malabsorptive procedures causing significant malabsorption such as very-long limb RYGB or biliopancreatic diversion with duodenal switch were limited, it has already been well established that these procedure can cause fat malabsorption which can lead to enteric hyperoxaluria and calcium oxalate stone formation. [10][11][12]15 Recently, the findings from a population-based study by Lieske et al 15 reported an increased risk of kidney stones in patients following Figure 2. Forest plot of the all included studies comparing risk of kidney stones in patients who underwent bariatric surgery and those who did not; square data markers represent risk ratios (RRs); horizontal lines, the 95% CIs with marker size reflecting the statistical weight of the study using random-effects meta-analysis.…”

Section: Discussionmentioning

confidence: 99%

“…Despite lack of controls, studies have identified kidney stones as a well-known complication of purely malabsorptive bariatric procedures, such as Jejunoileal bypass. [10][11][12] However, the findings of studies evaluating the risk of kidney stones in patients following modern bariatric surgery are conflicting. 13 Several studies have demonstrated an increased risk of kidney stones in patients following bariatric surgery.…”

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

The risk of kidney stones following bariatric surgery: a systematic review and meta-analysis

et al. 2016

View full text Add to dashboard Cite

Background With rising prevalence of morbid obesity, the number of bariatric surgeries performed each year has been increasing worldwide. The objective of this meta-analysis was to assess the risk of kidney stones following bariatric surgery. Methods A literature search was performed using MEDLINE, EMBASE, and Cochrane Database of Systematic Reviews from inception through July 2015. Only studies reporting relative risks, odd ratios or hazard ratios (HRs) to compare risk of kidney stones in patients who underwent bariatric surgery versus no surgery were included. Pooled risk ratios (RR) and 95% confidence interval (CI) were calculated using a random-effect, generic inverse variance method. Results Four studies (One randomized controlled trial and three cohort studies) with 11,348 patients were included in analysis to assess the risk of kidney stones following bariatric surgery. The pooled RR of kidney stones in patients undergoing bariatric surgery was 1.22 (95% CI, 0.63-2.35). The type of bariatric surgery subgroup analysis demonstrated an increased risk of kidney stones in patients following Roux-en-Y gastric bypass (RYGB) with the pooled RR of 1.73 (95% CI, 1.30-2.30) and a decreased risk of kidney stones in patients following restrictive procedures including laparoscopic banding or sleeve gastrectomy with the pooled RR of 0.37 (95% CI, 0.16-0.85). Conclusions Our meta-analysis demonstrates an association between RYGB and increased risk of kidney stones. Restrictive bariatric surgery, on the other hand, may decrease kidney stone risk. Future study with long-term follow-up data is needed to confirm this potential benefit of restrictive bariatric surgery.

show abstract

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

The risk of kidney stones following bariatric surgery: a systematic review and meta-analysis

et al. 2016

View full text Add to dashboard Cite

show abstract

“…26 Jejuno ileal bypass is not used anymore because of numerous and sometimes severe side effects, such as protein malnutrition, vitamin and mineral deficiencies, renal failure, liver disease, and even death. 27 However, information derived from the changes in gastrointestinal hormones after JIB can be applied to increase knowledge about how currently used bariatric surgery operations work.…”

Section: Gastric Restrictive (Laparoscopic Adjustable Gastric Bandingmentioning

confidence: 99%

Mechanisms Responsible for Excess Weight Loss after Bariatric Surgery

Ionut

Bergman

2011

J Diabetes Sci Technol

View full text Add to dashboard Cite

Obesity has increased alarmingly in the United States and is increasing in many countries of the world. Because obesity is an important risk factor for type 2 diabetes and other chronic diseases, it is important to develop approaches to counter the rapid increase in adiposity. One approach is bariatric surgery, the most successful clinical intervention known for treating obesity. Surgery can result in impressive weight loss and improvement of obesity-related comorbidities. Yet the mechanisms responsible for this remarkable effect of surgery remain controversial. It is now clear that caloric restriction, per se, does not explain all the reduction in stored fat mass after surgery. A number of gastrointestinal hormones, including glucagon-like peptide (GLP)-1, peptide YY, oxyntomodulin, GLP-2, glucose-dependent insulinotropic polypeptide, ghrelin, and others, can play roles in energy homeostasis and could be involved in bariatric-surgery-related weight loss and weight loss maintenance. Vagal innervation may play a role. In addition, there may be other yet-uncharacterized factors that could participate. This review discusses the possible roles of these hormonal mechanisms in various types of bariatric surgery to help elucidate some of the potential mechanisms at play in short-term and long-term post-bariatric surgery weight loss. Understanding such mechanisms could lead to new and efficacious means to control or even reduce the epidemic of obesity.

show abstract

“…Jejunoileal by-pass uygulanan hastalarda operasyondan 15 yıl sonra böbrek taşı görülme riski yaklaşık %29'dur [18,19]. Obezite cerrahisi sonrası oluşan taşlar ço-ğunlukla kalsiyum okzalat taşıdır.…”

Section: Obezite Cerrahisi Ve üRiner Sistem Taşı Oluşumuunclassified

Bariatric Surgery and Urinary Stone Disease

2016

Ann Clin Anal Med

View full text Add to dashboard Cite

ÖzetÖnemli bir halk sağlığı problemi olan obezitenin üriner sistem taş hastalığı etyolojisinde rol oynadığı ileri sürülmektedir. Bununla birlikte, obezitenin tedavisinde kullanımı giderek yaygınlaşan obezite cerrahisi de üriner sistem taş hastalığı ile ilişkili görünmektedir. Günlük pratikte, obezite cerrahisi planlanan veya uygulanmış hastalar daha sık karşımıza çıkmaktadır. Derleme bu hasta grubunun yönetiminin ürolojik açıdan değerlendirilmesini amaçlamıştır. Anahtar KelimelerÜriner Taş Hastalığı; Obezite Cerrahisi AbstractObesity is a major public health problem and has been suggested to play a role in the etiology of urinary tract stone disease. Furthermore, the increasingly widespread use of surgery in the treatment of obesity also is related with urinary stone disease. In daily practice, patients to whom obesity surgery has been planned or who have undergone obesity surgery are seen more frequently. This review aims to highlight the urological evaluation and management of this patient group.

show abstract

Jejunoileal bypass: A surgery of the past and a review of its complications

Cited by 55 publications

References 6 publications

The risk of kidney stones following bariatric surgery: a systematic review and meta-analysis

The risk of kidney stones following bariatric surgery: a systematic review and meta-analysis

Mechanisms Responsible for Excess Weight Loss after Bariatric Surgery

Bariatric Surgery and Urinary Stone Disease

Contact Info

Product

Resources

About