Elevated Liver Enzymes as an Operative Complication of Gastric Bypass Surgery
| Autor: | Roy G. Soto, Julie Saranita, Dan Paoli |
|---|---|
| Rok vydání: | 2003 |
| Předmět: |
Male
medicine.medical_specialty Endocrinology Diabetes and Metabolism Gastric bypass Gastric Bypass Elevated liver enzymes medicine.disease_cause Mechanical pressure Liver Function Tests Pressure medicine Humans Aspartate Aminotransferases Nutrition and Dietetics biology medicine.diagnostic_test Gastric bypass surgery business.industry Postoperative complication Alanine Transaminase Middle Aged Surgery Retractor Liver Alanine transaminase Anesthesia biology.protein Liver function tests business Liver Circulation |
| Zdroj: | Obesity Surgery. 13:314-316 |
| ISSN: | 1708-0428 0960-8923 |
| DOI: | 10.1381/096089203764467289 |
| Popis: | Background: A rise in liver function tests (LFTs) had been noted in a patient following gastric bypass. This was studied in a subsequent gastric bypass pateint, to determine if this rise in LFTs occurred sometime between placement of the upper abdominal retractors but before the retractors were removed. Methods: LFTs were drawn preoperatively, immediately before retractor placement, immediately before retractor removal, 1 and 3 hours postoperatively, and postoperatively for 5 days until discharge. Results: LFTs rose after liver retractor placement and remained elevated for 3 days before returning to normal. Conclusions: The authors postulate that surgical retractor placement may have caused the patient's acute LFT elevation. Specifically, direct mechanical pressure may result in a transient decrease in hepatic blood-flow. |
| Databáze: | OpenAIRE |
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