Malnutrition-induced myopathy following Roux-en-Y gastric bypass.
A 42-year-old man developed a myopathy in the setting of malnutrition following Roux-en-Y gastric bypass for the treatment of morbid obesity. No specific vitamin or electrolyte deficiency was identified. Muscle biopsy revealed type II fiber atrophy. He recovered after the initiation of continuous enteral feeding. We suggest that malnutrition was the underlying cause of his myopathy.
Hsia
A W
AW
Department of Neurology, Stanford University, Room A343, Stanford, California 94305-5235, USA. ahsia@stanford.edu
Hattab
E M
EM
Katz
J S
JS
D000328:Adult; D000713:Anastomosis, Roux-en-Y / Q000009:adverse effects*; D001706:Biopsy; D015390:Gastric Bypass / Q000009:adverse effects*; D006801:Humans; D008297:Male; D018482:Muscle, Skeletal / Q000473:pathology; D009133:Muscular Atrophy / Q000209:etiology / Q000473:pathology; D009135:Muscular Diseases / Q000209:etiology* / Q000473:pathology; D009748:Nutrition Disorders / Q000150:complications* / Q000209:etiology