Musculoskeletal symptoms after jejunoileal shunt surgery for intractable obesity. Clinical and immunologic studies
Ginsberg, J.; Quismorio, F.P.; DeWind, L.T.; Mongan, E.S.
American Journal of Medicine 67(3): 443-448
1979
ISSN/ISBN: 0002-9343 PMID: 382846 Document Number: 143222
A group of 27 patients, who underwent jejunoileal bypass surgery for the treatment of morbid obesity, were studied because of the occurrence of musculoskeletal symptoms. The patients were divided into 3 clinical groups; 13 in whom arthritis, arthralgias and morning stiffness or myalgia or both developed after intestinal surgery, 7 patients who had similar musculoskeletal complaints but whose symptoms could not be definitely related to surgery because they occurred before the surgery or because of the presence of other known causes of arthritis, and 7 control patients who were free of musculoskeletal symptoms before or after surgery. The arthritis which occurred after jejunoileal bypass surgery was transitory and did not lead to permanent joint deformities. The presence of immune complexes suggested that they may be important in the pathogenesis of this complication of jejunoileal bypass surgery.