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Brown bowel syndrome secondary to jejunoileal bypass: the first case report.
- Source :
-
Obesity surgery [Obes Surg] 2009 Aug; Vol. 19 (8), pp. 1176-9. Date of Electronic Publication: 2009 Jun 09. - Publication Year :
- 2009
-
Abstract
- A 58-year-old woman with a surgical history of jejunoileal bypass in 1980 for weight reduction sought medical attention with multiple complaints. The patient had not been taking any nutritional supplements since her bypass surgery, 26 years previously. She was found to have osteomalacia, chronic diarrhea, secondary hyperparathyroidism, and hyperoxaluria with a frequent history of nephrolithiasis. Because of her severe osteodystrophy and metabolic complications, reversal of her jejunoileal bypass was recommended. Reversal of the jejunoileal bypass with a sleeve gastrectomy was performed. Laparotomy revealed brown discoloration of the entire alimentary limb with atrophy of the bypassed intestinal limb. Histologic examination of the resected small bowel demonstrated brown pigment deposits within smooth muscle cells of the bowel wall. The pigment stained positive with Fontana-Masson most likely representing lipofuscin. We report a case of brown bowel syndrome complicating jejunoileal bypass, the first case reported in the literature to the best of our knowledge.
- Subjects :
- Female
Gastrectomy methods
Humans
Intestinal Diseases pathology
Intestinal Diseases surgery
Lipofuscin analysis
Malabsorption Syndromes pathology
Malabsorption Syndromes surgery
Middle Aged
Muscle, Smooth chemistry
Muscle, Smooth pathology
Osteoporosis etiology
Pigmentation Disorders pathology
Pigmentation Disorders surgery
Syndrome
Vitamin D Deficiency etiology
Intestinal Diseases etiology
Jejunoileal Bypass adverse effects
Malabsorption Syndromes etiology
Pigmentation Disorders etiology
Subjects
Details
- Language :
- English
- ISSN :
- 0960-8923
- Volume :
- 19
- Issue :
- 8
- Database :
- MEDLINE
- Journal :
- Obesity surgery
- Publication Type :
- Academic Journal
- Accession number :
- 19506985
- Full Text :
- https://doi.org/10.1007/s11695-009-9872-0