title: [Life-threatening malnutrition after a laparoscopic gastric bypass operation reverting the gastrointestinal tract into normal anatomy].
abstract: We present a case report of a woman who had repeating episodes of severe life-threatening malnutrition four years after a laparoscopic gastric bypass operation for severe overweight. Despite several normal examinations her condition remained unstable. She was offered a laparoscopic operation reverting the stomach and small intestine into normal anatomy and it was performed without complications so the condition resolved. The malnutrition was probably caused by a mixture of an eating disorder and the effects of the operation influencing gut hormones. It is important to handle this category of patients in a competent multidisciplinary team.
authors.affiliation: Gastroenheden, Hvidovre Hospital, Kettegård Alle 30, 2650 Hvidovre. E-mail: ingemariepoulsen@dadlnet.dk.
authors.forename: Inge Marie
authors.initials: IM
authors.lastname: Poulsen
authors.forename: Dorte Elmegård
authors.initials: DE
authors.lastname: Hansen
authors.forename: Karin Lindqvist
authors.initials: KL
authors.lastname: Grønbæk
mesh_terms: D000328:Adult; D016638:Critical Illness; D005260:Female; D015390:Gastric Bypass / Q000009:adverse effects / Q000379:methods; D006801:Humans; D010535:Laparoscopy / Q000009:adverse effects / Q000379:methods; D044342:Malnutrition / Q000209:etiology* / Q000601:surgery; D011183:Postoperative Complications / Q000209:etiology / Q000601:surgery; D012086:Reoperation / Q000379:methods*