title: [Zinc deficiency caused by postgastrectomy fistula with high flow in a patient undergoing prolonged parenteral nutrition].
abstract: A case is presented of a 57-year-old male patient who underwent total gastrectomy due to gastric adenocarcinoma. During the postoperative period the patient required long-term parenteral nutrition due to a high-debit GI fistula (over 700 ml/day) and sepsis. Two months after parenteral nutrition was started, the patients presented irritability, mucocutaneous lesions and progressive bolding. Serum alkaline phosphatase and zinc levels were lower than normal, although a supplemental 0.03 mg/k/day of zinc was administered. Faced with this zinc deficiency picture, 10 mg zinc sulfate was administered parenterally on a daily basis. The deficiency picture improved markedly over a week's period, and serum zinc and alkaline phosphatase levels returned to normal. The importance of zinc balance control in patients under long-term parenteral nutrition and high fluid debit through GI fistulas is highlighted.
authors: Cirugía General B, Hospital Civil de Basurto, Bilbao.
authors: J
authors: J
authors: Ortiz
authors: J
authors: J
authors: Ariño
authors: A
authors: A
authors: Serna
authors: I
authors: I
authors: Santos
authors: A
authors: A
authors: Apecechea
authors: I
authors: I
authors: Iturburu
authors: J M
authors: JM
authors: García Peña
mesh_terms: D003108:Colonic Diseases / Q000150:complications*; D005402:Fistula / Q000150:complications*; D005743:Gastrectomy; D006801:Humans; D007412:Intestinal Fistula / Q000150:complications*; D008297:Male; D008875:Middle Aged; D010289:Parenteral Nutrition, Total; D011183:Postoperative Complications; D012871:Skin Diseases / Q000150:complications*; D013997:Time Factors; D015032:Zinc / Q000172:deficiency*
chemical_list: D015032:Zinc
vernacular_title: Déficit de zinc debido a fístula posgastrectomía de alto débito en paciente sometido a nutrición parenteral prolongada.