Secondary Kwashiorkor: A Rare Complication of Gastric Bypass Surgery

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Presentation transcript:

Secondary Kwashiorkor: A Rare Complication of Gastric Bypass Surgery Jeffrey H. William, MD, Elliot B. Tapper, MD, Eric U. Yee, MD, Simon C. Robson, MB, ChB, PhD The American Journal of Medicine Volume 128, Issue 5, Pages e1-e2 (May 2015) DOI: 10.1016/j.amjmed.2014.12.002 Copyright © 2015 Elsevier Inc. Terms and Conditions

Figure 1 (A) Flow chart of the clinical manifestations of secondary protein malnutrition (kwashiorkor) after a gastrointestinal bypass surgery. (B) Laboratory studies performed during the patient's hospital admission demonstrate numerous nutritional and enzyme deficiencies, evidence of limited liver dysfunction, and pancytopenia. Ab = antibody; ALT = alanine aminotransferase; AST = aspartate aminotransferase; CBC = complete blood count; HBcAb = hepatitis B core antibody; HBsAb = hepatitis B surface antibody; HBV = hepatitis B virus; HCV = hepatitis C virus; IgA = immunoglobulin A; INR = international normalized ratio; LDH = lactate dehydrogenase; TSH = thyroid-stimulating hormone; tTG = anti-tissue transglutaminase antibody; WBC = white blood cell. The American Journal of Medicine 2015 128, e1-e2DOI: (10.1016/j.amjmed.2014.12.002) Copyright © 2015 Elsevier Inc. Terms and Conditions