Korean J Gastroenterol.  2001 Feb;37(2):137-140.

A Case of Malabsorption as a Result of Bacterial Overgrowth of the Small Intestine after Billroth II Operation

• Kang TY
• Eun CS
• Lee JI
• Choi CR
• Jeong CI
• Jeon YC
• Han DS
• Lee OY
• Yoon BC
• Ham JS
• Lee MH
• Lee DH
• Kee CS
• Park KN

Abstract

A large number of disorders have been associated with proliferation of enteric microorganisms in the small intestine. Billroth II partial gastrectomy is one of the factors that can develop bacterial overgrowth of small intestine. This bacterial overgrowth can lead to malabsorption or disturbed metabolism of intestinal contents. Many cases of bacterial overgrowth after partial gastrectomy have been reported in America and European literature. However, no case has been reported in Korea. Here, we describe a 44-year-old male patient with malabsorption who compalined of abdominal discomfort and peripheral edema. He had a history of Billroth II operation due to perforated gastric ulcer which had occurred 10 years before visiting our hospital. Jejunal biopsy was performed for differential diagnosis. In the aspirated jejunal fluid culture, >105 organisms/mL were observed. After sensitivity based antibiotics therapy, clinical improvement was observed and he recovered well.

Keyword

Malabsorption; Bacterial overgrowth; Billroth II

MeSH Terms

Adult
Americas
Anti-Bacterial Agents
Biopsy
Diagnosis, Differential
Edema
Gastrectomy
Gastroenterostomy*
Gastrointestinal Contents
Humans
Intestine, Small*
Korea
Male
Metabolism
Stomach Ulcer
Anti-Bacterial Agents