III. Clinical Status of the Partial Ileal Bypass Operation

Circulation ◽  
1974 ◽  
Vol 49 (5s1) ◽  
1979 ◽  
Vol 24 (3) ◽  
pp. 206-210 ◽  
Author(s):  
G. A. A. Al Shamma ◽  
G. S. Fell ◽  
S. N. Joffe

A greater metabolic response developed during a seven day starvation in two morbidly obese patients three months after a 90 per cent jejuno-ileal bypass operation when compared with a similar fast before operation. There was a greater degree of ketosis, a decreased urinary urea excretion and an earlier utilization of ketone bodies. These changes suggest a metabolic adaptation of the body to the semistarvation state caused by the operation with a more rapid utilization of adipose tissue as a fuel and a sparing of lean body mass.


1975 ◽  
Vol 113 (4) ◽  
pp. 521-524 ◽  
Author(s):  
John G. Gregory ◽  
Eugene B. Starkloff ◽  
Keikoku Miyai ◽  
Harry W. Schoenberg

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