title: [Chonic diarrhea and malabsorption due to common variable immunodeficiency, gastrectomy and giardiasis infection: a difficult nutritional management].
abstract: Gastric cancer is a frequent cause of cancer-related mortality in the world. Surgery is the only potentially curative therapy, although the adverse effects of surgery are common and considerable. Common variable immunodeficiency is in many cases cause of gastrointestinal system problems such as chronic diarrhea caused by infestation with giardia lamblia, nodular lymphoid hiperplasia ad loss of villi leading frequently to malapsortion and malnutrition. Nutritional deficiencies due to malapsorption (postgastrectomy and secondary to loss of villi, giardiasis and common variable inmunodeficiency) are common. We present the case of a patient with gastric cancer who underwent a gastrectomy with common variable hipogammaglobulinemia and chronic infestation by giardia lamblia, with serious diarrhea resistant to treatment and malabsorption.
authors.affiliation: Servicio de Endocrinología y Nutrición, Hospital Regional Universitario Carlos Haya, Málaga, España. mmelilla@yahoo.com
authors.forename: M E
authors.initials: ME
authors.lastname: Domínguez-López
authors.forename: I
authors.initials: I
authors.lastname: González-molero
authors.forename: C P
authors.initials: CP
authors.lastname: Ramírez-Plaza
authors.forename: F
authors.initials: F
authors.lastname: Soriguer
authors.forename: G
authors.initials: G
authors.lastname: Olveira
mesh_terms: D000361:Agammaglobulinemia / Q000150:complications; D001361:Avitaminosis / Q000209:etiology / Q000628:therapy; D002116:Calcitonin / Q000097:blood; D002908:Chronic Disease; D017074:Common Variable Immunodeficiency / Q000150:complications*; D003967:Diarrhea / Q000209:etiology* / Q000628:therapy*; D005492:Folic Acid / Q000627:therapeutic use; D005743:Gastrectomy / Q000009:adverse effects*; D016829:Giardia lamblia; D005873:Giardiasis / Q000150:complications*; D006801:Humans; D008286:Malabsorption Syndromes / Q000209:etiology* / Q000628:therapy*; D008297:Male; D008875:Middle Aged; D018529:Nutritional Support; D010179:Pancreas / Q000201:enzymology; D013274:Stomach Neoplasms / Q000601:surgery; D014805:Vitamin B 12 / Q000627:therapeutic use; D014815:Vitamins / Q000627:therapeutic use
chemical_list: D014815:Vitamins; D002116:Calcitonin; D005492:Folic Acid; D014805:Vitamin B 12