Gouty attacks occur frequently in postoperative gastric bypass patients
| Autor: | Ramsey M. Dallal, Jeffrey L. Lord, Jeffrey Friedman |
|---|---|
| Rok vydání: | 2008 |
| Předmět: |
Adult
Male musculoskeletal diseases medicine.medical_specialty Gout medicine.medical_treatment Gastric bypass Gastric Bypass Laparoscopic gastric bypass Body Mass Index Postoperative Complications Risk Factors Humans Medicine Obesity Aged Retrospective Studies Rehabilitation business.industry Incidence Incidence (epidemiology) Retrospective cohort study Middle Aged medicine.disease Surgery Female business Body mass index Prophylactic treatment |
| Zdroj: | Surgery for Obesity and Related Diseases. 4:11-13 |
| ISSN: | 1550-7289 |
| DOI: | 10.1016/j.soard.2007.09.012 |
| Popis: | Background Both obesity and surgery are known risk factors for instigating gouty attacks. We describe the incidence and management of postoperative gouty attacks after bariatric surgery. Methods We performed a retrospective, multi-institutional review of 411 consecutive laparoscopic gastric bypass patients and identified all patients with postoperative gouty attacks. Results Of the 411 patients reviewed, 21 (5.1%) had had a previous diagnosis of gout. Of these 21 patients, 7 (33.3%) had had an acute attack postoperatively. No patient who had never had a preoperative episode developed gout. In 4 of the 7 (57.1%) patients, the attack was severe enough to require treatment with corticosteroids. Monoarticular attacks occurred in 5 (71.4%) of the 7 patients, and polyarticular attacks occurred in 2 (28.6%). The joints involved included the toes, ankles, and wrists. One patient presented with cervical gout and developed polyarticular gout that required a significant rehabilitation stay. Conclusion The morbidity of postoperative gouty attacks in bariatric surgery patients is significant. Patients with a history of gout should given prophylactic treatment and closely monitored. |
| Databáze: | OpenAIRE |
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