First Case Report of Acquired Copper Deficiency Following Revisional Single Anastomosis Duodeno-Ileal Bypass with Sleeve Gastrectomy (SADI-S) Leading to Severe Pancytopenia with Refractory Anemia - Takeaways - MDSpire

First Case Report of Acquired Copper Deficiency Following Revisional Single Anastomosis Duodeno-Ileal Bypass with Sleeve Gastrectomy (SADI-S) Leading to Severe Pancytopenia with Refractory Anemia

  • By

  • Alyaa Abusabeib

  • Walid El Ansari

  • Wahiba Elhag

  • August 28, 2020

  • 0 min

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  • 1

    Copper deficiency is rare but can occur after bariatric surgeries like SADI-S, leading to severe health complications.

  • 2

    The patient, a 37-year-old female, developed severe pancytopenia and anemia following revisional SADI-S despite adherence to supplementation.

  • 3

    Laboratory tests revealed severe deficiencies in copper, zinc, selenium, vitamin D, and folate, contributing to her hematological issues.

  • 4

    Treatment included IV copper chloride, resulting in improved blood counts and resolution of symptoms after hospitalization.

  • 5

    This case highlights the need for careful monitoring and supplementation of trace elements post-bariatric surgery to prevent deficiencies.

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