Long term repercussions of the intestinal bypass surgeries
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):
* Abdominal distension, irregular diarrhea, increased flatus, pneumatosis intestinalis, colonic pseudo-obstruction, bypass enteropathy, volvulus with mechanical small bowel obstruction.
* 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).
* Peripheral neuropathy, pericarditis, pleuritis, hemolytic anemia, neutropenia, and thrombocytopenia.