D-LACTIC ACIDOSIS IN A PATIENT WITH JEJUNOILEAL BYPASS

D-Lactic acidosis is an unique complication of jejunoileal bypass occu rring because of alteration of colonic bacterial flora with selective proliferation of D-lactate-producing bacteria. The D-lactate accumulat ion in the serum is associated with encephalopathy, which responds to oral antibiotic drugs in most patients. Because gastroenterologists ma y encounter such patients for some time to come, we report a new case and review the literature.