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Right extended hemicolectomy, falls and low B12

Gosney, M. A. (2017) Right extended hemicolectomy, falls and low B12. Medical and Clinical Archives, 1 (3). ISSN 2515-1053

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To link to this item DOI: 10.15761/MCA.1000115


Background: Falls are common and can be multifactorial. Settings: An older man presented with a fall and an unremarkable past medical history including a right extended hemicolectomy for a caecal carcinoma and a left hip replacement. Results: Clinically he had a marked peripheral neuropathy and low serum cobalamin. Conclusion: The removal of the terminal ilium may remove the site of uptake of vitamin B₁₂ even in the presence of intrinsic factor. Therefore, older patients in whom curative surgery for colonic carcinoma has been undertaken should be monitored for B₁₂ deficiency five years following surgery and until death. B₁₂ may be replaced in the usual fashion in such individuals

Item Type:Article
Divisions:Life Sciences > School of Psychology and Clinical Language Sciences > Department of Psychology
ID Code:74967
Publisher:Medical and Clinical Archives (MCA)


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