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ABSTRACT Protein-calorie malnutrition or kwashiorkor is extremely rare after gastric bypass surgery. We report a case of a woman referred to a weight management clinic in the United Kingdom

who developed bilateral leg oedema 2 years after gastric bypass surgery in Tunisia. Her serum albumin concentration was 24 g/l, and her body mass index was 16.2 kg/m2. A review of the

postoperative report of her bariatric surgery revealed that she had undergone a distal bypass with anastomosis of the intestine at 1 m proximal to the ileocaecal valve. She required

gastrostomy feeding for 6 months before undergoing revisional surgery to a proximal Roux-en-Y gastric bypass in order to restore healthy weight. We recommend that if patients are having

their bariatric surgery outside of their country of residence, they should always obtain a copy of the operative notes so that these are readily available if complications arise. Access

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SIMILAR CONTENT BEING VIEWED BY OTHERS EXOCRINE PANCREATIC INSUFFICIENCY FOLLOWING BARIATRIC SURGERY: UNVEILING ALTERNATIVE AETIOLOGY—CASE REPORT AND SHORT REVIEW Article 04 September 2023

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Surg_ 1999; 9: 433–442. Article  CAS  Google Scholar  Download references AUTHOR INFORMATION AUTHORS AND AFFILIATIONS * Department of Clinical Biochemistry, Russells Hall Hospital, Dudley,

UK R Pitt * Department of Surgery, Torbay Hospital, Devon, UK P L Z Labib * Department of Radiology, Russells Hall Hospital, Dudley, UK A Wolinski * Weight Management Clinic, Russells Hall

Hospital, Dudley, UK M H Labib Authors * R Pitt View author publications You can also search for this author inPubMed Google Scholar * P L Z Labib View author publications You can also

search for this author inPubMed Google Scholar * A Wolinski View author publications You can also search for this author inPubMed Google Scholar * M H Labib View author publications You can

also search for this author inPubMed Google Scholar CORRESPONDING AUTHOR Correspondence to P L Z Labib. ETHICS DECLARATIONS COMPETING INTERESTS The authors declare no conflict of interest.

RIGHTS AND PERMISSIONS Reprints and permissions ABOUT THIS ARTICLE CITE THIS ARTICLE Pitt, R., Labib, P., Wolinski, A. _et al._ Iatrogenic kwashiorkor after distal gastric bypass surgery:

the consequences of receiving multinational treatment. _Eur J Clin Nutr_ 70, 635–636 (2016). https://doi.org/10.1038/ejcn.2016.15 Download citation * Received: 07 January 2016 * Revised: 25

January 2016 * Accepted: 27 January 2016 * Published: 24 February 2016 * Issue Date: May 2016 * DOI: https://doi.org/10.1038/ejcn.2016.15 SHARE THIS ARTICLE Anyone you share the following

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