American Journal of Medical Case Reports
ISSN (Print): 2374-2151 ISSN (Online): 2374-216X Website: Editor-in-chief: Samy, I. McFarlane
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American Journal of Medical Case Reports. 2017, 5(5), 119-121
DOI: 10.12691/ajmcr-5-5-4
Open AccessCase Report

Don’t Forget to Take Your Vitamins! A Case of Gastric Bypass Gone Wrong

Ariel D. Sindel1, , Gilad Shapira2, Chelsea Olson1 and Derick Jenkins1

1Department of Internal Medicine, Virginia Commonwealth University Health Systems, Richmond, VA

2Department of Internal Medicine, University of South Albama Medical Center, Mobile, AL

Pub. Date: June 03, 2017

Cite this paper:
Ariel D. Sindel, Gilad Shapira, Chelsea Olson and Derick Jenkins. Don’t Forget to Take Your Vitamins! A Case of Gastric Bypass Gone Wrong. American Journal of Medical Case Reports. 2017; 5(5):119-121. doi: 10.12691/ajmcr-5-5-4


Gastric bypass, an increasingly common operation performed due to rises in obesity has greatly improved patient’s quality of life along with health. This case report presents a 62 year old female three decades post Roux-En-Y gastric bypass who came in with shortness of breath. Knowing the malabsorptive nature of her weight-loss surgery we suspected a nutritional deficiency and performed a full panel. Though we found multiple vitamin abnormalities, we were most concerned about her deficient thiamine levels. The complete workup led to a diagnosis of wet beriberi, a condition commonly seen in underdeveloped nations. With the rise in weight loss surgery, understanding and having a high clinical suspicion for such patients is necessary.

Bariatrics nutrition beriberi thiamine vitamin deficiency

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