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Long term repercussions of the intestinal bypass surgeries |
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Listing of jejuno-ileal bypass complications: (according to the
ASBMS, ALL surgeries which involve any kind of intestinal bypass are at
risk for at least some of the following) Mineral and Electrolyte Imbalance: * Decreased serum sodium, potassium, magnesium and bicarbonate. * Decreased sodium chloride * Osteoporosis and osteomalacia secondary to protein depletion, calcium and vitamin D loss, and acidosis, (i.e. fragile porous bones which break easily) Protein Calorie Malnutrition: * Hair loss, anemia, edema (swelling), and vitamin depletion Cholelithiasis (gall stones): Enteric Complications: * Abdominal distension, irregular diarrhea, increased flatus, pneumatosis intestinalis, colonic pseudo-obstruction, bypass enteropathy, volvulus with mechanical small bowel obstruction. Extra-intestinal Manifestations: * Arthritis * Liver disease, occurs in at least 30% * Acute liver failure may occur in the postoperative period, and may lead to death acutely following surgery. * Steatosis, "alcoholic" type hepatitis, cirrhosis, occurs in 5%, progresses to cirrhosis and death in 1-2% * Erythema Nodosum, non-specific pustular dermatosis * Weber-Christian Syndrome * Renal Disease (Kidney): * Hyperoxaluria, with oxalate stones or interstitial oxalate deposits, immune complex nephritis, "functional" renal failure (kidney stones and kidney failure). Miscellaneous: * Peripheral neuropathy, pericarditis, pleuritis, hemolytic anemia, neutropenia, and thrombocytopenia. http://www.asbs.org/html/story/chapter2.html
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