Kadakia S C
Department of Medicine, Brooke Army Medical Center, San Antonio, Texas 78234-6200, USA.
J Clin Gastroenterol. 1995 Mar;20(2):154-6. doi: 10.1097/00004836-199503000-00019.
D-Lactic acidosis is an unique complication of jejunoileal bypass occurring because of alteration of colonic bacterial flora with selective proliferation of D-lactate-producing bacteria. The D-lactate accumulation in the serum is associated with encephalopathy, which responds to oral antibiotic drugs in most patients. Because gastroenterologists may encounter such patients for some time to come, we report a new case and review the literature.
