Bowen R C, Shepel L
Can Med Assoc J. 1977 Apr 23;116(8):871-5.
Cognitive changes, depression, arthralgia and dermatitis developed in a 33-year-old woman 5 years after a jejunoileal shunt for massive obesity, The dermatitis and low serum carotene and vitamin C values suggested vitamin deficiencies, The serum magnesium concentration also was low. Vitamin and mineral replacement led to amelioration of the physical and psychological symptoms; the improvement has been maintained at 18-month follow-up. The favourable changes were documented with the Wechsler Adult Intelligence Scale, the Minnesota Multiphasic Personality Inventory and test performance ratings. It is concluded that the surgical procedure caused vitamin and magnesium deficiencies and that these resulted in the patient's symptoms.
一名33岁女性在接受空肠回肠分流术治疗重度肥胖5年后出现认知改变、抑郁、关节痛和皮炎。皮炎以及血清胡萝卜素和维生素C值偏低提示维生素缺乏。血清镁浓度也较低。补充维生素和矿物质后，身体和心理症状得到改善；在18个月的随访中，这种改善一直持续。通过韦氏成人智力量表、明尼苏达多相人格问卷和测试表现评分记录了这些良好变化。结论是，手术导致了维生素和镁缺乏，进而引发了患者的症状。
