Re: [申覆] 醫學(三) 17
雖然我過了，還是來幫忙查一下，查申覆的同學辛苦了!!!加油!!
這題感覺還是可以try try看
Decreased serum vitamin B12 levels can be observed after partial gastrectomy.
This is usually not due to deficiency of IF,
since a minimal amount of parietal cells (source of IF) are removed
during antrectomy. Reduced vitamin B12 "may be" due to competition
for the vitamin by bacterial overgrowth
or inability to split the vitamin from
its protein-bound source due to hypochlorhydria.
from Harrison's Internal Medicine - 17ed
他說有可能因為細菌長太多
但也有可能因為胃酸不足
這樣就給anti ??
如果忽略脂肪便 硬要說他是dumping syndrome
(查不到dumping syndrome的stool是不是含脂肪,不過不能吃太油)
那就是先飲食調節啦
建議: 全送分
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08/04 23:51, , 1F
08/04 23:51, 1F
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