Short bowel syndrome after Billroth II gastric resection

A 46 years old woman with symptoms of severe malabsorption was admitted to our hospital. The patient was operated on Billroth I gastric resection because of gastric ulcer in 1984. Abdominal wall plastic surgery was carried out in 1985. Billroth II resection was performed because of anastomosis stenosis in 1985. The complaints of diarrhea, steatorrhea and malabsorption started after the third operation. She was treated with total parenteral nutrition several times. At the admission hypoproteinemia (37,8g/l), hypoalbuminemia (15,1g/l), hypocalcaemia (1,08 mmol/l), iron deficiency (3,4 umol/l), hypophosphatemia (0,…