Liver failure caused by prolonged state of malnutrition following bariatric surgery
| Autor: | Jan A Apers, Willem J Lammers, Janneke Wiebolt, Antonie Jp van Tilburg |
|---|---|
| Přispěvatelé: | Gastroenterology & Hepatology |
| Rok vydání: | 2018 |
| Předmět: |
medicine.medical_specialty
Case Report Anorexia 03 medical and health sciences 0302 clinical medicine medicine Hyperammonemia Urea cycle SDG 2 - Zero Hunger Hyperbilirubinemia Starvation Hepatology business.industry Protein deficiency Liver failure Severe malnutrition Nutritional status medicine.disease Surgery Malnutrition Protein malnutrition Critical level 030220 oncology & carcinogenesis 030211 gastroenterology & hepatology medicine.symptom business |
| Zdroj: | World Journal of Hepatology, 10(3), 396-399. Baishideng Publishing Group World Journal of Hepatology |
| ISSN: | 1948-5182 |
| DOI: | 10.4254/wjh.v10.i3.396 |
| Popis: | Bariatric surgery is an effective tool in the treatment of patients with morbid obesity. In these case reports we describe 2 patients who developed liver failure after currently-practiced types of bariatric surgery, caused by a prolonged state of malnutrition provoked by psychiatric problems. Despite intensive guidance of a psychologist and dieticians after surgery, our patients deteriorated psychologically, resulting in a prolonged state of severe malnutrition and anorexia. Finally, a state of starvation was reached, passing a critical level of the liver capacity. Patients who present with signs of severe protein malnutrition after bariatric surgery should be closely monitored and checked for nutritional status. Specific attention should be given to patients who develop psychiatric problems post-bariatric surgery. If refeeding does not result in clinical improvement, reversal surgery should be considered in a timely manner. |
| Databáze: | OpenAIRE |
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