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. Author manuscript; available in PMC: 2014 Sep 4.
Published in final edited form as: Dis Colon Rectum. 2009 Apr;52(4):726–739. doi: 10.1007/DCR.0b013e31819ed571

TABLE 2.

Serum vitamin B12 levels and absorption test (by Schilling test) and folate levels before and after restorative proctocolectomy (RPC)

Point of control Parameter n % below normal vs. ref value % above normal vs. ref value Mean ± SEM P value vs. precolectomy Reference level
Precolectomy Vitamin B12 41 8 10 433 ± 31.45 pmol/L 40–840 pmol/L
Ileostomy Vitamin B12 43 7 2 353 ± 32.27 pmol/L 0.17
Loop ileostomy Vitamin B12 61 8 3 326 ± 30.78 pmol/L 0.28
6 months Vitamin B12 69 7 3 335 ± 26.81 pmol/L 0.33
12 months Vitamin B12 58 3 5 349 ± 27.73 pmol/L 0.19
18 months Vitamin B12 53 6 2 319 ± 23.24 pmol/L 0.03
24 months Vitamin B12 51 6 4 380 ± 36.1 pmol/L 0.50
36 months Vitamin B12 28 11 0 350 ± 27.22 pmol/L 0.09
Precolectomy Schl-with-IF 16 38 12 17 ± 2.48 % 12–30% with IF
Schl-without-IF 17 35 12 16 ± 2.41 % 11–28% without IF
12 months Schl-with-IF 67 30 6 16 ± 1.09 % 0.87
Schl-without-IF 67 31 6 15 ± 0.99 % 0.42
36 months Schl-with-IF 35 37 0 15 ± 1.22 % 0.23
Schl-without-IF 36 36 0 15 ± 1.23 % 0.13
Precolectomy Folate 42 12 0 14.99 ± 1.83 nmol/L >4nmol/L
Ileostomy Folate 43 0 0 16.16 ± 1.71 nmol/L 0.01
Loop ileostomy Folate 61 0 0 16.78 ± 1.76 nmol/L 0.01
6 months Folate 66 0 0 16.20 ± 1.13 nmol/L 0.01
12 months Folate 56 0 0 16.10 ± 1.40 nmol/L 0.002
18 months Folate 51 0 0 16.90 ± 1.67 nmol/L 0.001
24 months Folate 44 0 0 16.51 ± 1.77 nmol/L 0.005
36 months Folate 25 0 0 19.22 ± 2.44 nmol/L 0.001

Precolectomy, levels the night prior to total colectomy and ileostomy; Ileostomy, levels night prior to pouch construction; Loop ileostomy, levels prior to closure of diverting loop ileostomy; months, levels of functional pouch after diverting loop ileostomy closure; IF, intrinsic factor (vitamin B12 intrinsic factor).

Adapted and published (2001) with permission from the Karolinska Institue database.36