Micro-nutrient deficiency in a case of jejunoileal bypass.
This report describes various clinical and micro-nutrient abnormalities that existed in a 47-year-old woman who underwent a jejunoileal bypass operation. She exhibited extensive electrolyte, mineral, amino acid, and vitamin deficiencies. Amino acid absorption tests indicated an inability to absorb essential amino acids, especially the branched-chain and aromatic varieties. Vitamin absorption tests indicated an inability to notably absorb folic acid, niacin, vitamins B6, A, and E; the fat-soluble beta-carotene (provitamin A) was not absorbed from the diet. A liver biopsy revealed that 80% of the tissue was filled with fatty cysts. The ensuing liver disease compounded with biochemical abnormalities due to the bypass, contributed to the patient's death.
D000596:Amino Acids / Q000097:blood; D001361:Avitaminosis / Q000209:etiology*; D005260:Female; D006801:Humans; D007082:Ileum / Q000601:surgery*; D007583:Jejunum / Q000601:surgery*; D008107:Liver Diseases / Q000209:etiology; D008875:Middle Aged; D008903:Minerals / Q000172:deficiency*; D009765:Obesity / Q000097:blood / Q000628:therapy*; D011183:Postoperative Complications; D014815:Vitamins / Q000097:blood
D000596:Amino Acids; D008903:Minerals; D014815:Vitamins