Tapering duodenoplasty and Roux-en-Y duodenojejunostomy in the management of adult megaduodenum
| Autor: | James R. Starling, Emily Stoddard, Peter F. Nichol, Dennis P. Lund |
|---|---|
| Rok vydání: | 2004 |
| Předmět: |
Adult
Male medicine.medical_specialty Malabsorption Bone disease Duodenum Jejunostomy Anastomosis Malabsorption Syndromes Duodenostomy Vitamin D and neurology Humans Medicine Duodenal Diseases Upper gastrointestinal series business.industry Anastomosis Roux-en-Y medicine.disease Roux-en-Y anastomosis Surgery medicine.anatomical_structure Spinal Fractures business Megaduodenum |
| Zdroj: | Surgery. 135:222-224 |
| ISSN: | 0039-6060 |
| Popis: | CASE REPORT A 41-year-old man with a history of chronic diarrhea and fatty stools since childhood and an inability to gain weight presented with C6 and T3 vertebral fractures. A bone mineral density scan of the lumbar spine from L2 to L4 was 61% of predicted, which was 4.3 standard deviations below the mean for an individual his age. An extensive endocrine work-up revealed a parathyroid hormone level of 4.1 and a serum calcium level of 7.8 mg/dL with an albumin of 3.5 g/dL. Based on these findings, malabsorption of vitamin D was suspected to be the cause of his bone disease. He underwent an upper gastrointestinal series that revealed a massively dilated duodenum (Fig 1). The remainder of his gastrointestinal evaluation was unremarkable. Based on these finding and our clinical suspicion that his bone disease and malabsorption were a direct result of megaduodenum and bacterial overgrowth, the patient was surgically explored. The duodenum was approxi |
| Databáze: | OpenAIRE |
| Externí odkaz: |
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