ArticleObesity surgery2009
Brown bowel syndrome secondary to jejunoileal bypass: the first case report.
Article in Obesity surgery, 2009. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
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Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
7 citing papers in PubMed, 16 citations in OpenAlex.
- A Protocol for Rehabilitating the Bypassed Limb Prior to Reversal of Jejunoileal Bypass.Obesity surgery · 2021Article
- Severe chronic bowel obstruction associated with brown bowel syndrome.SAGE open medical case reports · 2020Article
- Brown Bowel Syndrome in a Middle-Aged Woman with Chronic Idiopathic Malabsorption.Case reports in surgery · 2019Article
- A unique case report of jejunoileal bypass reversal with review of the literature.International journal of surgery case reports · 2018Article
- Brown bowel syndrome: a rare and often overlooked complication of intestinal atresia.North American journal of medical sciences · 2013Article
- Brown Bowel Syndrome: An Exceedingly Rare Condition with Longstanding Malabsorption and an Unusual Cause of Colon Pseudo-Obstruction.Case reports in gastroenterologyArticle
- Brown bowel syndrome: a systematic review.Annals of gastroenterologyReview
Corrections and comments
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Authors and funding
4 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
A 58-year-old woman with a surgical history of jejunoileal bypass in 1980 for weight reduction sought medical attention with multiple complaints. The patient had not been taking any nutritional supplements since her bypass surgery, 26 years previously. She was found to have osteomalacia, chronic diarrhea, secondary hyperparathyroidism, and hyperoxaluria with a frequent history of nephrolithiasis. Because of her severe osteodystrophy and metabolic complications, reversal of her jejunoileal bypass was recommended. Reversal of the jejunoileal bypass with a sleeve gastrectomy was performed. Laparotomy revealed brown discoloration of the entire alimentary limb with atrophy of the bypassed intestinal limb. Histologic examination of the resected small bowel demonstrated brown pigment deposits within smooth muscle cells of the bowel wall. The pigment stained positive with Fontana-Masson most likely representing lipofuscin. We report a case of brown bowel syndrome complicating jejunoileal bypass, the first case reported in the literature to the best of our knowledge.
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Registered trials
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