title: Combination of type 2 diabetes and malnutrition worsened by anastomotic stenosis and pancreas atrophy following resection of pancreas head.
abstract: A 77-year-old Japanese man was admitted due to hypoglycemia induced by small amount of insulin. He was diagnosed type 2 diabetes in 1978 and the pancreatic cancer in 1993. Resection of the pancreas head and duodenum was performed. Subsequently, anastomotic stenosis appeared to induce appetite loss. His flavor for carbohydrate-rich food accelerated protein malnutrition. Fatty liver and pancreas atrophy were diagnosed in 1999. After he was diagnosed as secondary kwashiorkor, nasal feeding of protein-rich food improved his fatty liver as well as his general condition rapidly. Anastomotic stenosis and pancreas atrophy contributed to a combination of type 2 diabetes and kwashiorkor.
authors.affiliation: The Third Internal Medicine, Osakaminami Medical Center, Kawachinagano, Japan.
authors.forename: Tetsuhiro
authors.initials: T
authors.lastname: Kitamura
authors.forename: Rieko
authors.initials: R
authors.lastname: Anaguchi-Hirao
authors.forename: Haruhiko
authors.initials: H
authors.lastname: Kouhara
mesh_terms: D000368:Aged; D001786:Blood Glucose; D003924:Diabetes Mellitus, Type 2 / Q000150:complications* / Q000178:diet therapy* / Q000209:etiology; D004750:Enteral Nutrition; D005234:Fatty Liver / Q000178:diet therapy / Q000473:pathology; D006801:Humans; D007732:Kwashiorkor / Q000150:complications* / Q000178:diet therapy* / Q000209:etiology; D008297:Male; D016577:Pancreaticoduodenectomy / Q000009:adverse effects
chemical_list: D001786:Blood Glucose