vitamin-k-semiquinone-radical and Night-Blindness

Topics: Adult; Colectomy; Combined Modality Therapy; Humans; Intestinal Neoplasms; Lymphoma, Non-Hodgkin; Male; Night Blindness; Radiotherapy; Vitamin A; Vitamin A Deficiency; Vitamin D; Vitamin E; Vitamin K

A patient underwent end-to-side jejunoileostomy for morbid obesity, and 3 years later an end-to-end jejunoileostomy with ileotransversostomy was performed. Nine years later she presented with night blindness, severe diarrhea and mild jaundice and was found to have malabsorption with vitamin A and K deficiencies as well as asymptomatic liver cirrhosis. Her shunt was removed, and a gastric partition was performed. The night blindness and abnormal prothrombin time were corrected by the administration of vitamins A and K. This case demonstrates that complications may appear many years after jejunoileal bypass surgery, and therefore, the patients should remain under strict medical supervision indefinitely.

Topics: Female; Humans; Ileum; Jejunum; Liver Cirrhosis; Middle Aged; Night Blindness; Obesity; Postoperative Complications; Reoperation; Vitamin A; Vitamin K