PT  - JOURNAL ARTICLE
AU  - R. C. Bowen
AU  - L. Shepel
TI  - Physical and psychological complications after intestinal bypass for obesity
DP  - 1977 Apr 23
TA  - Canadian Medical Association Journal
PG  - 871--875
VI  - 116
IP  - 8
4099  - http://www.cmaj.ca/content/116/8/871.short
4100  - http://www.cmaj.ca/content/116/8/871.full
SO  - CMAJ1977 Apr 23; 116
AB  - Cognitive changes, depression, arthralgia and dermatitis developed in a 33-year-old woman 5 years after a jejunoileal shunt for massive obesity, The dermatitis and low serum carotene and vitamin C values suggested vitamin deficiencies, The serum magnesium concentration also was low. Vitamin and mineral replacement led to amelioration of the physical and psychological symptoms; the improvement has been maintained at 18-month follow-up. The favourable changes were documented with the Wechsler Adult Intelligence Scale, the Minnesota Multiphasic Personality Inventory and test performance ratings. It is concluded that the surgical procedure caused vitamin and magnesium deficiencies and that these resulted in the patient's symptoms.