A 33-year-old female who has had multiple resections of
the small bowel has been left with 90 cms of jejunum anastamosed to the colon.
She is maintained on a diet high in polysaccharides and manages well on this
diet. She is admitted to the ward
with ataxia, blurred vision, ophthalmoplegia and nystagmus.
The likely cause of this complication is
Vitamin B 12 deficiency
L (+) lactic acidosis
D (-) Lactic acidosis