Celiac disease in a patient with morbid obesity

A 28-year-old woman was morbidity obese and subsequently underwent a jejunoileal bypass. Routine intraoperative small-bowel biopsy disclosed jejunal villous atrohpy. Nine months later, she had lost more than half her body weight and experienced severe diarrhea and vomiting. When a gluten-free diet w...

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Bibliographic Details
Published in:	Archives of internal medicine (1960) Vol. 140; no. 10; p. 1380
Main Authors:	Owen, D A, Thorlakson, T K, Walli, J E
Format:	Journal Article
Language:	English
Published:	United States 01-10-1980
Subjects:	Adult Atrophy Celiac Disease - complications Celiac Disease - pathology Diarrhea - etiology Female Humans Ileum - surgery Intestinal Mucosa - pathology Jejunum - pathology Jejunum - surgery Obesity - etiology Obesity - therapy
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Summary:	A 28-year-old woman was morbidity obese and subsequently underwent a jejunoileal bypass. Routine intraoperative small-bowel biopsy disclosed jejunal villous atrohpy. Nine months later, she had lost more than half her body weight and experienced severe diarrhea and vomiting. When a gluten-free diet was instituted, her symptoms regressed, and the jejunal mucosa returned to normal. The necessity of considering celiac disease in cases of prolonged diarrhea occurring after various types of bowel surgery is emphasized.
ISSN:	0003-9926
DOI:	10.1001/archinte.1980.00330210128039