Postbariatric Surgery Hyperammonemia: A Rare Cause of Encephalopathy
| Autor: | DO Christopher Halleman, DO Yevgeniya Goltser, Duane Ashe, Basem Alkurdi, Reepal Patel, DO Janyll Castineira, Salah Al-Andary, DO Mark Vila, Peggy St Croix |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2019 |
| Předmět: |
medicine.medical_specialty
Urea cycle disorder Gastric bypass surgery business.industry medicine.medical_treatment Encephalopathy Hyperammonemia Case Report Endoscopy General Medicine medicine.disease_cause medicine.disease Surgery 03 medical and health sciences Liver disease Lactulose 0302 clinical medicine 030220 oncology & carcinogenesis medicine Intubation 030211 gastroenterology & hepatology business Complication medicine.drug |
| Zdroj: | ACG Case Reports Journal |
| ISSN: | 2326-3253 |
| Popis: | Hyperammonemic encephalopathy is an under-recognized and potentially fatal complication of Roux-en-Y gastric bypass surgery. We present a case of a 42-year-old woman with no known history of liver disease who experienced worsening encephalopathy 1 year after bariatric surgery. She presented with elevated ammonia and severe encephalopathy requiring intubation. A complete workup led to the diagnosis of a urea cycle disorder. The patient was managed with lactulose, ammonia scavenging agents, and nutritional supplementation with a favorable outcome. We report this case to increase awareness of this condition and urge providers to maintain a high clinical suspicion in the appropriate setting. |
| Databáze: | OpenAIRE |
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