@article{ajmcr2017554,
author={{Sindel, Ariel D. and Shapira, Gilad and Olson, Chelsea and Jenkins, Derick},
title={Don¡¯t Forget to Take Your Vitamins! A Case of Gastric Bypass Gone Wrong},
journal={American Journal of Medical Case Reports},
volume={5},
number={5},
pages={119--121},
year={2017},
url={http://pubs.sciepub.com/ajmcr/5/5/4},
issn={2374-216X},
abstract={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.},
doi={10.12691/ajmcr-5-5-4}
publisher={Science and Education Publishing}
}