Soares Pedro França da Costa, de Carvalho Rita Barbosa, Chaim Elinton Adami, Cazzo Everton
Department of Surgery. Faculty of Medical Sciences. Universidade Estadual de Campinas (UNICAMP).
Nutr Hosp. 2019 Jul 1;36(3):743-747. doi: 10.20960/nh.2257.
Case report: we present the case of a 44-year-old male who presented with uncontrollable diarrhea, severe protein-calorie malnutrition and multiple vitamin deficiencies, along with peripheral neuropathy ten years after classic biliopancreatic diversion (BPD). He underwent nutritional support and had the surgery converted to a Roux-en-Y gastric bypass, with an uneventful outcome. The histopathology of the resected bowel revealed lipofuscinosis of the muscular layer compatible with brown bowel syndrome. Discussion: brown bowel syndrome is a rare complication of malnutrition that can be observed after BPD. It is associated with vitamin E deficiency. After recovery with nutritional support, a reoperation that elongates the common channel, and thus minimizes the degree of malabsorption, should be indicated in these cases.
我们报告一例44岁男性患者，在接受经典胆胰分流术（BPD）十年后，出现无法控制的腹泻、严重的蛋白质 - 热量营养不良、多种维生素缺乏以及周围神经病变。他接受了营养支持治疗，并将手术转换为Roux - Y胃旁路术，术后恢复顺利。切除肠段的组织病理学检查显示肌层脂褐质沉着，符合棕色肠综合征。讨论：棕色肠综合征是营养不良的一种罕见并发症，可在BPD术后观察到。它与维生素E缺乏有关。在通过营养支持恢复后，对于这些病例，应进行延长共同通道从而使吸收不良程度最小化的再次手术。
