Thiamin, Pyridoxine, Vitamin D, and Carotene Deficiency in a Malnourished Patient Following Billroth II Gastrectomy.
We describe the case of a malnourished 48-year-old man who had previously undergone a Billroth II procedure for severe peptic ulcer disease. He was found to have a severely stenotic gastrojejunal anastomosis with inflamed mucosa that prevented him from tolerating solid food. Laboratory assessment revealed deficiencies in thiamin, pyridoxine, vitamin D, and carotene. This case demonstrates potential vital micronutrient complications following a partial gastrectomy.
1 Department of Pharmacy, UF Health Shands Hospital, Gainesville, Florida, USA.
Mark D
MD
Lahey
1 Department of Pharmacy, UF Health Shands Hospital, Gainesville, Florida, USA.
Amir Y
AY
Kamel
D002338:Carotenoids / Q000097:blood / Q000172:deficiency*; D005743:Gastrectomy / Q000009:adverse effects; D005763:Gastroenterostomy / Q000009:adverse effects; D006801:Humans; D008297:Male; D044342:Malnutrition / Q000097:blood* / Q000209:etiology; D008875:Middle Aged; D010437:Peptic Ulcer / Q000097:blood / Q000601:surgery; D011736:Pyridoxine / Q000097:blood / Q000172:deficiency*; D013831:Thiamine / Q000097:blood; D013832:Thiamine Deficiency / Q000175:diagnosis*; D014807:Vitamin D / Q000097:blood; D014808:Vitamin D Deficiency / Q000175:diagnosis* / Q000209:etiology
D014807:Vitamin D; D002338:Carotenoids; D011736:Pyridoxine; D013831:Thiamine
Billroth II; beta carotene; gastrectomy; gastroenterostomy; thiamin deficiency; vitamin B-6 deficiency; vitamin D deficiency; vitamin deficiencies