Gastrectomy and osteomalacia: an association not to be forgotten.
Metabolic bone disease due to calcium and vitamin D malabsorption is a well-defined consequence of gastrectomy and to a lesser extent of pancreatic insufficiency. The diversity of its presentation, however, can be misleading, resulting in delayed diagnosis or a thorough investigation for possible underlying neoplasias being undertaken. We describe the case of a man with partial gastrectomy and pancreatectomy with osteomalacia and secondary hyperparathyroidism.
Efstathiadou
Z
Z
Department of Medicine, Endocrine Unit, University of Ioannina, Greece.
Bitsis
S
S
Tsatsoulis
A
A
D001842:Bone and Bones / Q000000981:diagnostic imaging; D002112:Calcifediol / Q000097:blood; D002117:Calcitriol / Q000097:blood; D002118:Calcium / Q000652:urine; D002908:Chronic Disease; D003937:Diagnosis, Differential; D005743:Gastrectomy / Q000009:adverse effects*; D006801:Humans; D006962:Hyperparathyroidism, Secondary / Q000209:etiology; D008297:Male; D008875:Middle Aged; D010018:Osteomalacia / Q000175:diagnosis* / Q000209:etiology*; D010180:Pancreatectomy; D010195:Pancreatitis / Q000601:surgery; D010281:Parathyroid Hormone / Q000097:blood; D011706:Pyloric Antrum / Q000601:surgery; D011707:Pyloric Stenosis / Q000601:surgery; D011877:Radionuclide Imaging
D010281:Parathyroid Hormone; D002117:Calcitriol; D002112:Calcifediol; D002118:Calcium