Pyridoxine Deficiency: Another Potential Sequel of the Jejunal-Ileal Bypass Procedure

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Abstract
To the Editor: We should like to report yet another metabolic complication of the jejunal-ileal bypass operation — namely, a pyridoxine-deficiency anemia. Our patient, a 28-year-old nurse, weighed 134 kg before operation and became pregnant 18 months after an end-to-side jejunal-ileal bypass. Apart from the anticipated diarrhea, which was relatively well controlled with diphenoxylate, the early postoperative course was uneventful. When she became pregnant, her weight had been stable for two months at 95 kg. To avoid potential fetal malnutrition, she was instructed to eat 120 g of protein a day; the fat content of the diet was kept . . .