Immediately after Billroth 2 gastrectomy, 21 of 63 patients absorbed 10% or less of labelled vitamin B-12. The purpose of this study then is to determine the usefulness of a vitamin b12 supplement to alleviate these deficiencies. Surgery: creation of a Hunt Lawrence pouch www.downstatesurgery.org. The exact treatment and use of vitamin b12 for these patients has not been clearly defined. Vitamin B12 deficiency under-diagnosed: The condition of Vitamin B12 deficiency is a possible misdiagnosis of various conditions, such as multiple sclerosis (see symptoms of multiple sclerosis)....read more » Read more about Misdiagnosis and Billroth disease (1) Billroth … This vitamin is very important for the formation and regeneration of red blood cells, the body’s manufacture of DNA and RNA (our cell’s genetic material), and the correct working of bodily nerves. • Theodor Billroth first to successfully. Vitamin deficiency treatment 3.

resect the distal stomach ... 2. Levels of b12 were measured, and the symptoms of deficiency were evaluated. Duringthe third decadebothreachedequal ... ofiron, vitamin B12 and vitamin D(early osteo-malacia ... Ofthese 186hadundergoneaPolya gastrectomy (141 males and45 females) and41 a Billroth I gastrectomy (24 males and 17 females). The patients with gastric carcinoma were particularly at risk. We explored this possibil­ On top of this, vitamin B12 works synergistically, together, with other vitamins (the main one is folic acid) to lower homocysteine levels. 1, 2 Low serum vitamin B12 concentration with normal B12 absorption is typical of persons subsisting on a vitamin B12-deficient diet.3-7 However, when the diet contains adequate vitamin B12 the possibility of impaired assimilation of food vitamin B12 should be considered as a cause of the low serum B 12 level. Vitamin B,2 deficiency assumedmoreimportance in theseconddecade. The risk of loss of intrinsic factor was far greater after partial gastrectomy for cancer or ulcer of the stomach than for duodenal ulcer.