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Intestinal Research 2003;1(2):197-200.
Published online November 27, 2003.
A Case of Bacterial Overgrowth Syndrome Presenting Recurrent Edema and Hypoproteinemia After Billoth II Operation
Bo In Lee, Kyu Yong Choi, Byung Wook Kim, Hwang Choi, Se Hyun Cho, Woo Chul Chung, Kang Moon Lee, Soo Heon Park, Hyun Suk Chae, Myung Gyu Choi, In Sik Jung
Departments of Internal Medicine, College of Medicine, The Catholic University of Korea, Seoul, Korea
Billoth II 수술 후 반복적인 부종과 저단백혈증을 일으킨 세균과다증식증후군 1예
이보인, 최규용, 김병욱, 최황, 조세현, 정우철, 이강문, 박수헌, 채현석, 최명규, 정인식
가톨릭대학교 의과대학 내과학교실
Abstract
Recently, we experienced a case of bacterial overgrowth syndrome with recurrent edema, hypoproteinemia and normal serum cobalamine level after Billoth II subtotal gastrectomy, which was diagnosed by jejunal aspirates culture and antibiotics treatment. When predisposition and clinical suspicion were present, jejunal culture might be preferable especially in case of post-Billoth II operation status because jejunal approach is easy, screening tests are negative in certain cases and some screening tests are not available in Korea. (Intestinal Research 2003;2:197-200)
Key Words: Bacterial overgrowth, Malabsorption syndromes, Jejunal culture
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