Retrograde endoscopy via the afferent loop was used to establish the diagnosis. Cossu ML, Coppola M, Iannuccelli M, Noya G. Simultaneous ileal intussusception and volvulus after jejunoileal bypass for morbid obesity. A laparotomy revealed a volvulus of bypassed ileal loops, probably caused by a simultaneous ileal intussusception and an adhesion. Christodoulakis M, Maris T, Plaitakis A, Melissas J. Wernicke s encephalopathy after vertical banded gastroplasty for morbid obesity . We need to educate our patients regarding uncontrolled vomiting and the importance of correcting this before thiamin deficiency develops.
Uncontrolled vomiting is abnormal and requires a diagnosis and treatment by operation, if necessary.
Liver transplantation after jejunoileal bypass for morbid obesity . The mean duration of time from JIB to transplantation was 22.3 years.