Night blindness and liver cirrhosis as late complications of jejunoileal bypass surgery for morbid obesity.
A patient underwent end-to-side jejunoileostomy for morbid obesity, and 3 years later an end-to-end jejunoileostomy with ileotransversostomy was performed. Nine years later she presented with night blindness, severe diarrhea and mild jaundice and was found to have malabsorption with vitamin A and K deficiencies as well as asymptomatic liver cirrhosis. Her shunt was removed, and a gastric partition was performed. The night blindness and abnormal prothrombin time were corrected by the administration of vitamins A and K. This case demonstrates that complications may appear many years after jejunoileal bypass surgery, and therefore, the patients should remain under strict medical supervision indefinitely.
D005260:Female; D006801:Humans; D007082:Ileum / Q000601:surgery*; D007583:Jejunum / Q000601:surgery*; D008103:Liver Cirrhosis / Q000209:etiology*; D008875:Middle Aged; D009755:Night Blindness / Q000188:drug therapy / Q000209:etiology*; D009765:Obesity / Q000628:therapy*; D011183:Postoperative Complications; D012086:Reoperation; D014801:Vitamin A / Q000627:therapeutic use; D014812:Vitamin K / Q000627:therapeutic use
D014801:Vitamin A; D014812:Vitamin K