RON E. POLK, PHARM. D.; MARVIN TENENBAUM, M.D.; BERRY KLINE, PH.D.
To the editor: Bruce and Wise (1) have emphasized that serum levels of antituberculous agents should be measured in patients with jejunoileal bypass to assure adequate intestinal absorption. We report here our results in a similar patient.
The patient was a 36-year-old woman who weighed 173 kg when she underwent a jejunoileal bypass (0.305m to 0.254m [12 in. to 10 in.]) at the Medical College of Virginia in 1974. She did well until April 1978, when she had the onset of fever, night sweats, and dull, nonradiating, anterior chest pain; at that time she was admitted to another hospital. Results
POLK RE, TENENBAUM M, KLINE B. Isoniazid and Ethambutol Absorption with Jejunoileal Bypass. Ann Intern Med. ;89:430–431. doi: 10.7326/0003-4819-89-3-430_2
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Published: Ann Intern Med. 1978;89(3):430-431.
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