RESUMEN
The case of a patient with severe vomiting and very rapid weight loss following vertical banded gastroplasty (VBG) (almost 50% of original weight in 11 months) and who suffered severe neurological and nutritional disorders is reported. All abnormal findings with the exception of nystagmus, disappeared during enteral nutritional support with a complete diet and vitamin supplementation. The alterations found in this case may have been related to the very rapid weight loss, which resulted in protein calorie malnutrition and, probably, in one or more vitamin deficiencies. This complication may be preventable by early nutritional intervention in subjects undergoing gastric reduction surgery and who exhibit very rapid weight loss and intractable vomiting.
Asunto(s)
Gastroplastia/efectos adversos , Trastornos Nutricionales/etiología , Nistagmo Patológico/etiología , Pérdida de Peso , Encefalopatía de Wernicke/etiología , Adulto , Humanos , MasculinoAsunto(s)
Infarto Cerebral/complicaciones , Síndrome de Horner/etiología , Enfermedades Hipotalámicas/complicaciones , Anciano , Infarto Cerebral/diagnóstico por imagen , Infarto Cerebral/patología , Síndrome de Horner/diagnóstico por imagen , Síndrome de Horner/patología , Humanos , Enfermedades Hipotalámicas/diagnóstico por imagen , Enfermedades Hipotalámicas/patología , Hipotálamo/irrigación sanguínea , Masculino , RadiografíaRESUMEN
Prenatal infection of pigs with Strongyloides ransomi occurred in 12% of 104 pigs and in 14% of 21 litters farrowed by 13 sows experimentally exposed to infective larvae as weanlings. Transmammary passage was observed in 38 of 39 litters studied. Milk samples obtained from 14 sows showed that larvae were usually shed in the colostrum within 24 hours after farrowing; however, larvae were recovered from samples of milk of sows up to 20 days after parturition. Larvae were recovered from milk samples obtained after each parturition up to the fourth. Prenatal infection in pigs was not detected after the 1st litter.