Resolution of late-onset heart and liver failures after reversion of jejuno-ileal bypass: a case report. (3rd July 2018)

• Record Type: Journal Article
• Authors: Pelà, Giovanna; De Rosa, Fabrizio; Demola, Pierluigi; Crocamo, Antonio; Missale, Gabriele; Cecchini, Stefano; Marchesi, Federico; Visioli, Francesco; Silini, Enrico Maria; Roncoroni, Luigi
• Is Part Of: Scandinavian journal of gastroenterology. Volume 53:Number 7(2018)
• Page Start: 891
• Page End: 894
• Publication Date: 2018-07-03
• Subjects: Jejuno-ileal bypass -- dysmetabolic cardiomyopathy -- liver insufficiency -- small intestine bacterial overgrowth (SIBO) -- nutritional deficiency; Gastroenterology -- Periodicals; Digestive organs -- Diseases -- Periodicals; 616.33
• DOI: 10.1080/00365521.2018.1474944
• Languages: English
• ISSNs: 0036-5521

Abstract

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.