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Difficulty in walking 10 years after gastric surgery.

Abstract
A 65-year-old gentleman presented with a history of abdominal distension and difficulty in walking 10 years after a Polya partial gastrectomy. Clinical history and neurological examination suggested an axonal sensory neuropathy. A computed tomographic scan of the abdomen showed a large afferent jejunal loop, and a hydrogen breath test confirmed small-bowel bacterial overgrowth secondary to the blind loop syndrome. Serological tests revealed low copper levels, which are a cause of a myeloneuropathy. The trace element deficiency occurred as a consequence of small-bowel bacterial overgrowth, and with antibiotic treatment of the bacterial overgrowth and copper supplementation his symptoms markedly improved.
AuthorsHeather I Lewis, Arjune Sen, Charles O Cockerell, Ralph R S H Greaves
JournalEuropean journal of gastroenterology & hepatology (Eur J Gastroenterol Hepatol) Vol. 23 Issue 10 Pg. 952-3 (Oct 2011) ISSN: 1473-5687 [Electronic] England
PMID21799420 (Publication Type: Case Reports, Journal Article)
Chemical References
  • Copper
Topics
  • Aged
  • Blind Loop Syndrome (diagnostic imaging, etiology)
  • Copper (deficiency)
  • Gait Ataxia (etiology)
  • Gastrectomy (adverse effects)
  • Humans
  • Male
  • Spinal Cord Diseases (etiology)
  • Tomography, X-Ray Computed
  • Walking

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