[The 499th case: Roux-en-Y gastric bypass, limb weakness, and ostealgia].
Zhonghua Nei Ke Za Zhi
; 62(1): 117-121, 2023 Jan 01.
Article
in Zh
| MEDLINE
| ID: mdl-36631049
ABSTRACT
A 36-year-old woman was admitted to the Peking Union Medical College Hospital with a history of fractures for 2 years, limb weakness for 1 year, and ostealgia for 2 months. The patient's examination identified iron deficiency anemia, significantly decreased serum calcium and 25-hydroxyvitamin D3 levels, and increased alkaline phosphatase and parathyroid hormone levels. Imaging showed several typical signs of osteomalacia. Considering the history of Roux-en-Y gastric bypass surgery, the diagnosis was considered to be osteomalacia caused by a postoperative nutritional absorption disorder. The patient was supplemented with calcitriol, calcium, and vitamin D and gradually returned to normal physical activity. The bone metabolism indicators and bone density were significantly improved.
Full text:
1
Collection:
01-internacional
Database:
MEDLINE
Main subject:
Osteomalacia
/
Gastric Bypass
Type of study:
Etiology_studies
/
Prognostic_studies
Limits:
Adult
/
Female
/
Humans
Language:
Zh
Journal:
Zhonghua Nei Ke Za Zhi
Year:
2023
Document type:
Article