TWO CASES OF VITAMIN B1 DEFICIENCY AFTER TOTAL GASTRECTOMY PRESENTED WITH PERIPHERAL NEUROPATHY

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  • 脚気ニューロパチーを契機に診断された胃全摘後ビタミンＢ１欠乏症の２例

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We report two cases of vitamin B1 deficiency presented with peripheral neuropathy 6 months and one year 6 months after total gastrectomy with reconstruction with jejunal pouch interposition (JPI) for early gastric cancer.<br>Patient 1, a 36-year-old man, developed leg edema and gait disturbance 6 months after the surgery and was diagnosed as beriberi because of the low level of serum VB1, 13ng/ml. Patient 2, a 63-year-old man, developed bilateral knee numbness 18 months after the surgery, when his serum level of VB1 was 14ng/ml. Intravenous administration of VB1 at a dose of 100mg/day provided symptomatic remission within a week.<br>From our experience with these cases, we think that the possibility of VB1 deficiency should be cared in following postoperative patients with gastric cancer, especially in patients who underwent total gastrectomy with reconstruction with JPI.

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