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

被引：9

作者：

Kitamura, Tetsuhiro ^{[1
]}

Anaguchi-Hirao, Rieko ^{[1
]}

Kouhara, Haruhiko ^{[1
]}

机构：

[1] Osakaminami Med Ctr, Kawachi Nagano, Japan

来源：

INTERNAL MEDICINE | 2008年 / 47卷 / 13期

关键词：

kwashiorkor; type; 2; diabetes; anastomotic stenosis; pancreas atrophy; fatty liver;

D O I：

10.2169/internalmedicine.47.0233

中图分类号：

R5 [内科学];

学科分类号：

1002 ; 100201 ;

摘要：

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.

引用

页码：1225 / 1230

页数：6

共 18 条

[1] Nonalcoholic fatty liver disease [J].