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NEUROLOGICAL COMPLICATIONS IN AN UNSELECTED GROUP OF PATIENTS PARTIALLY GASTRECTOMIZED FOR GASTRIC ULCER
Author(s) -
Roos Dorthe
Publication year - 1974
Publication title -
acta neurologica scandinavica
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.967
H-Index - 95
eISSN - 1600-0404
pISSN - 0001-6314
DOI - 10.1111/j.1600-0404.1974.tb02817.x
Subject(s) - medicine , vitamin b12 , myelopathy , peripheral neuropathy , gastroenterology , surgery , gastrectomy , malabsorption , spinal cord , cancer , endocrinology , diabetes mellitus , psychiatry
A clinical neurological follow‐up study is submitted, including 128 patients with a history of surgery for benign gastric ulcer an average of 12 years previously. Among these 128 patients, 44 had signs of myelopathy, peripheral neuropathy or severe intellectual impairment, presumably due to vitamin B 12 deficiency. Four of these patients were on vitamin B 12 therapy. In the remaining 40 the serum vitamin B 12 averaged 154 pg/ml. Out of the 44 affected patients 14 were in the serum B 12 range 150–200 pg/ml. B 12 therapy is recommended also for this group of “questionable reduction” to avoid irreversible cerebral and spinal lesions due to the B 12 deficiency.