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[Intestinal osteopathy following partial gastric resection].

H Schäfer1, C Baerwald

  • 1Abteilung Poliklinik, Universität Marburg.

Deutsche Medizinische Wochenschrift (1946)
|January 31, 1992
PubMed
Summary

Severe intestinal osteopathy in a 62-year-old man, a late complication of gastric surgery, was successfully treated with vitamin D3 and calcium. This highlights the link between gastrointestinal health and bone metabolism.

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Area of Science:

  • Gastroenterology
  • Endocrinology
  • Orthopedics

Background:

  • Partial gastric resection (Billroth II) can lead to long-term complications.
  • Gastrointestinal surgery can impact nutrient absorption and bone metabolism.

Observation:

  • A 62-year-old male presented with severe intestinal osteopathy 26 years post-gastric surgery.
  • Symptoms included lower back/hip pain, waddling gait, low calcium and vitamin D, high alkaline phosphatase and parathormone.
  • Radiology showed Looser's zones, osteodensitometry revealed low bone density, and biopsy indicated osteomalacia and secondary hyperparathyroidism.

Findings:

  • The patient exhibited classic signs of severe osteomalacia and secondary hyperparathyroidism.
  • Biochemical markers indicated significant calcium and vitamin D deficiency.

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  • Radiological findings confirmed bone abnormalities consistent with metabolic osteopathy.

    • Implications:

    • Intestinal osteopathy can be a late, severe complication of gastric surgery, particularly gastrojejunostomy.
    • Abnormal calcium/phosphate metabolism is a key factor in osteopathic symptoms.
    • Prompt treatment with vitamin D3 and calcium can effectively resolve symptoms and normalize metabolic markers.