Treating Every Needle in the Haystack
| Autor: | Swetha Suresh, Matthew C. Cave, Stephen A. McClave, Sanjeev Singh |
|---|---|
| Rok vydání: | 2014 |
| Předmět: |
Adult
medicine.medical_specialty Cirrhosis Protein–energy malnutrition Gastric bypass Gastric Bypass Medicine (miscellaneous) Protein-Energy Malnutrition Ammonia medicine Humans Urea Diagnostic Errors Nutrition and Dietetics Brain Diseases Metabolic business.industry Severe malnutrition Middle Aged medicine.disease Fibrosis Surgery Urea cycle Severe protein calorie malnutrition Nutrition support Female Hyperammonemic encephalopathy business |
| Zdroj: | Journal of Parenteral and Enteral Nutrition. 39:977-985 |
| ISSN: | 1941-2444 0148-6071 |
| DOI: | 10.1177/0148607114546900 |
| Popis: | Neurologic complications are not uncommon following bariatric surgery. Hyperammonemic encephalopathy (HAE) due to an acquired or unmasked urea cycle deficit is among the rarest of these. Pediatric nutrition support specialists are familiar with recognizing urea cycle deficits, but adult specialists may not be. Here we present a case of a patient initially misdiagnosed with cirrhosis who presented with recurrent HAE 4 years after Roux-en-Y gastric bypass. She was diagnosed with a proximal urea cycle deficit and severe protein calorie malnutrition. The patient recovered with specialized nutrition and medical support targeting this condition. A literature review indicates multiple fatalities from this condition, indicating the importance of early diagnosis and appropriate nutrition support. |
| Databáze: | OpenAIRE |
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