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KMID : 0614620010370020137
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Korean Journal of Gastroenterology
2001 Volume.37 No. 2 p.137 ~ p.140
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A Case of Malabsorption as a Result of Bacterial Overgrowth of the Small Intestine after Billroth II Operation
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강태영/Tae Young Kang
은창수/이정익/최창렬/정청일/전용철/한동수/이오영/윤병철/함준수/이민호/이동후/기춘석/박경남/Chang Soo Eun/Jeong Ik Lee/Chang Ryeol Choi/Chung Il Jeong/Yong Cheol Jeon/Dong Soo Han/Oh Young Lee/Byung Chul Yoon/Joon Soo Ham/Min Ho Lee/Dong Hoo Lee/Choon Suk
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Abstract
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A large number of disorders have been associated with proliferation of enteric microorganisms in the small intestine. Billroth II partial gastrectomy is one of the factors that can develop bacterial overgrowth of small intestine. This bacterial
overgrowth can lead to malabsorption or disturbed metabolism of intestinal contents. Many cases of bacterial overgrowth after partial gastrectomy have been reported in America and European literature. However, no case has been reported in Korea.
Here,
we describe a 44-year-old male patient with malabsorption who compalined of abdominal discomfort and peripheral edema. He had a history of Billroth II operation due to perforated gastric ulcer which had occurred 10 years before visiting our
hospital.
Jejunal biopsy was performed for differential diagnosis. In the aspirated jejunal fluid culture, >105 organisms/mL were observed. After sensitivity based antibiotics therapy, clinical improvement was observed and he recovered well.
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