Wesley Dixon, Brittany Bromfield, Mark Redston, Jordan Sack
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引用次数: 0
Abstract
Kwashiorkor is a severe form of protein-calorie malnutrition. It is rarely observed in well-developed countries and is a potential complication of bariatric surgery. We report a case of kwashiorkor presenting as new-onset hepatic steatosis and high serum-ascites albumin gradient, low total protein ascites in an adult 2 years after Roux-en-Y gastric bypass with heavy alcohol use, and pancreatic insufficiency. The ascites resolved with parenteral nutrition, alcohol cessation, and pancreatic enzyme supplementation. This case highlights the diagnostic and pathophysiologic complexity of malnutrition-related liver disease in the bariatric population, especially considering that it can mimic the more commonly encountered portal hypertensive ascites.
期刊介绍：
ACG Case Reports Journal is a peer-reviewed, open-access publication that provides GI and hepatology fellows, private practice clinicians, and other healthcare providers an opportunity to share interesting case reports with their peers and with leaders in the field. ACG Case Reports Journal publishes case reports, images, videos and letters to the editor in all topics of gastroenterology and hepatology, including: Biliary Colon Endoscopy Esophagus Functional Bowel Disorders Inflammatory Bowel Disease Liver Nutrition and Obesity Pancreas Pathology Pediatric Small Bowel Stomach.
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