Vitamin D deficiency following Billroth II surgery - How much vitamin D is enough?: A case report

Abstract

Background: Vitamin D deficiency with all its consequences is a global health problem. Case Presentation: We reported a 62-year-old Caucasian woman with alcohol-related liver cirrhosis (Child class A) and a medical history of Billroth II surgery. Although she has taken an oral dose of 16 800 IU vitamin D daily for six weeks to normalise her 25-hydroxyvitamin D level the raise was only moderate. Conclusion: High-dose oral or parenteral vitamin D therapy is necessary to gain sufficient 25-hydroxyvitamin D serum levels in patients following gastric surgery. © 2010 Sampl et al.