15.一位48歲男性,因5個月來出現餐後腹痛、腹脹及嘔吐等症狀而就醫。他在5年前曾因胃穿孔而開刀(subtotal
gastric resection+Billroth II anastomosis)。病人之body mass index是19 kg/m2、血清 albumin:3.1(normal:4.3 ~5.4)g/dL、Hb:9.6(normal:13~17)g/dL、MCV(mean corpuscular volume):106(normal:80~ 100)fL,下列何者是最可能的診斷?
(A)irritable bowel syndrome
(B)bile reflux gastropathy
(C)afferent loop syndrome
(D)Zollinger-Ellison syndrome
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統計: A(9), B(68), C(501), D(41), E(0) #2625770
統計: A(9), B(68), C(501), D(41), E(0) #2625770