title: Severe scurvy after gastric bypass surgery and a poor postoperative diet.
abstract: After bariatric gastric bypass surgery patients are at risk of developing micronutrient deficiencies. If gastric bypass surgery is followed by a vitamin deficient diet the patients have a risk of developing vitamin-C deficiency. When spontaneous ecchymosis is observed in the skin, in at-risk patients, scurvy must be considered. When treated with large doses of vitamin-C the symptoms of scurvy rapidly improve even if the patient has developed multiple organ dysfunction syndrome.
  
  
  BACKGROUND
  Scurvy; Gastric bypass surgery; Multiorgan dysfunction.
authors.affiliation: Department Anaesthesiology and Intensive Care, Odense University Hospital, 5000 Odense C, Denmark.
authors.forename: Esben P K
authors.initials: EP
authors.lastname: Hansen
authors.forename: Carsten
authors.initials: C
authors.lastname: Metzsche
authors.forename: Emil
authors.initials: E
authors.lastname: Henningsen
authors.forename: Palle
authors.initials: P
authors.lastname: Toft