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  • Title: Night blindness and liver cirrhosis as late complications of jejunoileal bypass surgery for morbid obesity.
    Author: Enat R, Nagler A, Bassan L, Perlman I, Kanter Y, Schramek A, Barzilai D.
    Journal: Isr J Med Sci; 1984 Jun; 20(6):543-6. PubMed ID: 6332098.
    Abstract:
    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.
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