小肠旷置术治疗单纯性肥胖

End-to-side jejunoileostomy to treat simple obesity

目的:探索治疗单纯性肥胖的一种新的手术方法。方法:根据人体小肠的解剖生理特点,应用减少食物在人体小肠的有效吸收面积及停留时间,保留空肠55～110cm,与距回盲部20cm处的回肠行端侧吻合。结果:1994年4月～2003年2月共完成21例手术,随访6个月～2年,体重减轻6～20kg,均取得了良好减肥效果,无一例发生营养不良。结论:保留小肠75～135cm,其余小肠旷置,治疗单纯性肥胖是安全有效的。

Objective To evaluate the effect of new operative treatment in patients with simple obesity. Methods By pass most of the small intestine and half of the colon by end-to-side anastomosis of the proximal 55cm to 110cm.Jejunum to 20cm of terminal ileum to reducing the length of functional intestine and the time of storage food. Results 21 patients'weight lose 6kg to 20kg during 6 to 12 months'follow-up from April 1994 to Feb 2003.No defective nutrition was found in 21 cases,and all the patients have gained prominent and stable effect. Conclusion In recognition of the essentiality of 75cm to 135cm.Of small intestine, end-to-side jejunoileostomy was performed with good results to cure simple obesity.