Article citationsMore >>

Sturm R., Hattori A. Morbid obesity rates continue to rise rapidly in the United States. Int. J. Obes. 2013 Jun; 37(6): 889-891.

has been cited by the following article:

Article

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

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

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


American Journal of Medical Case Reports. 2017, Vol. 5 No. 5, 119-121
DOI: 10.12691/ajmcr-5-5-4
Copyright © 2017 Science and Education Publishing

Cite this paper:
Ariel D. Sindel, Gilad Shapira, Chelsea Olson, 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.

Correspondence to: Ariel  D. Sindel, Department of Internal Medicine, Virginia Commonwealth University Health Systems, Richmond, VA. Email: ariel.sindel@vcuhealth.org

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.

Keywords