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December 1965

Vitamin B12 and Iron Deficiency After Partial Gastrectomy

Author Affiliations

From the Department of Surgery, University of Minnesota Medical School.

Arch Surg. 1965;91(6):995-997. doi:10.1001/archsurg.1965.01320180129026

CLINICALLY significant malabsorption states after gastric resection are uncommon, but occasionally produce various types of nutritional anemias. These anemias are now recognized more frequently than formerly, because physicians are more aware of their occurrence, and the development of more precise laboratory techniques allows greater precision in their diagnosis.

Iron deficiency is known to be a frequent sequela of partial gastric resection, but vitamin B12 deficiency thereafter is thought to be rare. A patient with clinical and laboratory evidence of combined vitamin B12 and iron deficiencies occurring 15 years after partial gastrectomy was recently seen at the University of Minnesota Hospitals and prompts this report.

Report of Case  A 78-year-old white man (UMH 796785), was admitted to the University of Minnesota Hospitals on Jan 6, 1965, because of complaints of weight loss, anorexia, and severe weakness of six months' duration. He had had an excision of a gastric ulcer