Combination of type 2 diabetes and malnutrition worsened by anastomotic stenosis and pancreas atrophy following resection of pancreas head.

Tetsuhiro Kitamura, Rieko Anaguchi-Hirao, Haruhiko Kouhara

The Third Internal Medicine, Osakaminami Medical Center, Kawachinagano, Japan.

Internal medicine (Tokyo, Japan) 2008

filter terms:

A 77-year-old Japanese man was admitted due to hypoglycemia induced by small amount of insulin. He was diagnosed type 2 diabetes in 1978 and the pancreatic cancer in 1993. Resection of the pancreas head and duodenum was performed. Subsequently, anastomotic stenosis appeared to induce appetite loss. His flavor for carbohydrate-rich food accelerated protein malnutrition. Fatty liver and pancreas atrophy were diagnosed in 1999. After he was diagnosed as secondary kwashiorkor, nasal feeding of protein-rich food improved his fatty liver as well as his general condition rapidly. Anastomotic stenosis and pancreas atrophy contributed to a combination of type 2 diabetes and kwashiorkor.

Citation

Tetsuhiro Kitamura, Rieko Anaguchi-Hirao, Haruhiko Kouhara. Combination of type 2 diabetes and malnutrition worsened by anastomotic stenosis and pancreas atrophy following resection of pancreas head. Internal medicine (Tokyo, Japan). 2008;47(13):1225-30