Excluded loop syndrome: A complication of jejuno-ileal bypass for obesity

✍ Scribed by Richard B. Bubenstein; Naboth Mbawa

• Publisher: John Wiley and Sons
• Year: 1978
• Tongue: English
• Weight: 212 KB
• Volume: 65
• Category: Article
• ISSN: 0007-1323
• DOI: 10.1002/bjs.1800650905

✦ Synopsis

Abstract

Excluded loop syndrome may develop in patients who undergo jejuno-ileal bypass surgery with the excluded smal intestine drained via an ileosigmoidostomy. A unique case of a morbidly obese male who underwent the procedure while on methadone maintenance therapy is presented. The major factor in the development of this disorder appears to be the high intraluminal pressures within the sigmoid colon which prevent adequate egress from the excluded loop. Narcotic medications tend to induce or intensify the syndrome.