Bowel Bypass Syndrome: Gastrointestinal Features
Bowel bypass syndrome is seen in those with chronic diarrhea and malabsorption following a bypass procedure, biliary diversion, or other gastrointestinal (GI) disorders.
GI symptoms include:
Clinical signs and findings can include:
Occurrence within weeks and up to 6 years after bowel bypass surgery
Usually acute and can be recurrent
Fever and chills may precede its onset
Malabsorption and fat-soluble vitamin deficiency, especially zinc deficiency
Endoscopy can reveal the area of gastrojejunal anastomosis from previous bypass surgery; this also can be confirmed by a barium study of the upper GI tract; inspection of the colon by colonoscopy may reveal evidence of colitis.
KeywordsZinc Deficiency Bacterial Overgrowth Pyoderma Gangrenosum Gastrojejunal Anastomosis Neutrophilic Infiltrate