Difficulty in walking 10 years after gastric surgery.

Abstract:

:A 65-year-old gentleman presented with a history of abdominal distension and difficulty in walking 10 years after a Polya partial gastrectomy. Clinical history and neurological examination suggested an axonal sensory neuropathy. A computed tomographic scan of the abdomen showed a large afferent jejunal loop, and a hydrogen breath test confirmed small-bowel bacterial overgrowth secondary to the blind loop syndrome. Serological tests revealed low copper levels, which are a cause of a myeloneuropathy. The trace element deficiency occurred as a consequence of small-bowel bacterial overgrowth, and with antibiotic treatment of the bacterial overgrowth and copper supplementation his symptoms markedly improved.

authors

Lewis HI,Sen A,Cockerell CO,Greaves RR

doi

10.1097/MEG.0b013e328349d030

subject

Has Abstract

pub_date

2011-10-01 00:00:00

pages

952-3

issue

10

eissn

0954-691X

issn

1473-5687

journal_volume

23

pub_type

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